Larson, Jeremy
Larson, Jeremy is an individual health care provider with primary practice located at 300 Tatone , Boardman OR 97818. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Larson, Jeremy can be contacted via phone (888) 468-0022.Contact Information
Primary practice address
300 Tatone
Boardman OR 97818
Phone: (888) 468-0022
Fax: (541) 504-3907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D9625 | Oregon |
Profile Details
| NPI number | 1770861791 |
|---|---|
| LBN Legal business name | Larson, Jeremy |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2011 |
| Last updated | Jan 27th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Duran, Daniel A.
2974 N Main St , Las Cruces NM 88001-1152 -
Kreeb, Kelly W
13210 Rosedale Hill Ave , Huntersville NC 28078-0327 -
Kadir, Ziyad Amir
300 Tatone St , Boardman OR 97818-7900 -
Zabek, Gregory S.
490 Post St Ste 404, San Francisco CA 94102-1405 -
Bienenstock, Marc Irwin
3809 Junction Blvd Fl 2, Corona NY 11368-2153 -
Walsh, Douglas Paul
9801 17Th Ave Sw , Seattle WA 98106-2759 -
Alvarado, Frank A.
2850 Artesia Blvd Ste 210, Redondo Beach CA 90278-3413 -
Olinzock, David Richard
12620 Beach Blvd Ste 18, Jacksonville FL 32246-7130