Leemaster, Larry D

Leemaster, Larry D is an sole proprietor health care provider with primary practice located at 3001 S Telephone Rd Suite A, Moore OK 73160-2942. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leemaster, Larry D can be contacted via phone (405) 793-8300.

Contact Information

Primary practice address
3001 S Telephone Rd Suite A Moore OK 73160-2942
Fax: (405) 793-8397
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4856 Oklahoma

Profile Details

NPI number 1326225509
LBN Legal business name Leemaster, Larry D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2008
Last updated Aug 31st, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326225509 NPPES
Oklahoma MEDICAID 100089760A

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