Robinson, Larry Kenneth
Robinson, Larry Kenneth is an individual health care provider with primary practice located at 8856 Youree Dr Suite C, Shreveport LA 71115. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Robinson, Larry Kenneth can be contacted via phone (318) 797-1411.Contact Information
Primary practice address
8856 Youree Dr Suite C
Shreveport LA 71115
Phone: (318) 797-1411
Fax: (318) 798-5841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5525 | Louisiana |
Profile Details
| NPI number | 1720291412 |
|---|---|
| LBN Legal business name | Robinson, Larry Kenneth |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720291412 | NPPES |
| Louisiana | MEDICAID | 1855251 |
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