Lewis C. Larson, DMD

Periodontics · Celebration, FL

Individual Active NPI

NPI number 1619005790

Practice location

400 Celebration Pl
A-260
Celebration, FL 34747-4970
Phone
(407) 566-2222
Fax
(407) 566-1650

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NPI record

NPI
1619005790
Entity type
Individual (Type 1)
Enumeration date
March 1, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X DN 7443 FL

Mailing address

741 Front St
#310
Celebration, FL 34747-4991
Phone
(407) 566-2222
Fax
(407) 566-1650

About Dr. Larson

Lewis C. Larson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 400 Celebration Pl, A-260, Celebration, FL 34747-4970. The NPI number 1619005790 was assigned on March 1, 2007 and the record was last updated on July 8, 2007.

Dr. Larson lists a license in the registry: #DN 7443 (FL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lewis C. Larson, DMD?

The NPI number is 1619005790.

What is the phone number of Dr. Larson?

The phone number listed for the practice location is (407) 566-2222.

Where is Dr. Larson located?

400 Celebration Pl, A-260, Celebration, FL 34747-4970.

What is the taxonomy code for Dr. Larson?

The primary taxonomy code is 1223P0300X – Periodontics.

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.