Larry Lee Jack, DDS
Dentist · Leadville, CO
Practice location
404 E 7TH StLeadville, CO 80461-3131
- Phone
- (410) 980-5433
NPI record
- NPI
- 1386982247
- Entity type
- Individual (Type 1)
- Enumeration date
- January 27, 2013
- Last updated
- January 27, 2013
- Sole proprietor
- Yes
Specialties & taxonomy codes
Mailing address
PO Box 476Leadville, CO 80461-0476
About Dr. Jack
Larry Lee Jack, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 404 E 7TH St, Leadville, CO 80461-3131. The NPI number 1386982247 was assigned on January 27, 2013 and the record was last updated on January 27, 2013.
Dr. Jack lists 2 licenses in the registry: #7752 (CO) for Dentist; #9327 (MD) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Larry Lee Jack, DDS?
The NPI number is 1386982247.
What is the phone number of Dr. Jack?
The phone number listed for the practice location is (410) 980-5433.
Where is Dr. Jack located?
404 E 7TH St, Leadville, CO 80461-3131.
What is the taxonomy code for Dr. Jack?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Leadville
- Leadville Dental Center LLC733 Us Highway 24
- Christine C. Jones, D.D.S.529 W 10TH St