Pevny, Larry Lee

Pevny, Larry Lee is an individual health care provider with primary practice located at 619 Cedar Ave , Marysville WA 98270-4532. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Pevny, Larry Lee can be contacted via phone (360) 659-6300.

Contact Information

Primary practice address
619 Cedar Ave Marysville WA 98270-4532
Phone: (360) 659-6300
Fax: (360) 691-7881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000045 Washington

Profile Details

NPI number 1194960161
LBN Legal business name Pevny, Larry Lee
Credentials DENTURIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2008
Last updated Dec 4th, 2008 - about 16 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 1194960161 NPPES
Washington Other 1336278910 ORGANIZATIONAL NPI NUMBER

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