Larry Wareck

Dentist · Interlochen, MI

Organization Active NPI

NPI number 1558801720

Practice location

2120 M 137 # 95
Interlochen, MI 49643-9386
Phone
(231) 276-9051

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NPI record

NPI
1558801720
Entity type
Organization (Type 2)
Enumeration date
March 7, 2017
Last updated
March 7, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901013338 MI

Authorized official

Name
Renee Wareck, MANAGER
Title
Wife
Phone
(231) 276-9051

About Larry Wareck

Larry Wareck is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2120 M 137 # 95, Interlochen, MI 49643-9386. The NPI number 1558801720 was assigned on March 7, 2017 and the record was last updated on March 7, 2017.

Larry Wareck lists a license in the registry: #2901013338 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Renee Wareck, MANAGER, Wife.

Frequently asked questions

What is the NPI number of Larry Wareck?

The NPI number is 1558801720.

What is the phone number of Larry Wareck?

The phone number listed for the practice location is (231) 276-9051.

Where is Larry Wareck located?

2120 M 137 # 95, Interlochen, MI 49643-9386.

What is the taxonomy code for Larry Wareck?

The primary taxonomy code is 122300000X – Dentist.

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.

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