Larry Vernon Pitzak, D.D.S.

General Practice Dentistry · Indio, CA

Individual Active NPI

NPI number 1720239833

Practice location

43983 Medinah Dr
Indio, CA 92201-8901
Phone
(714) 396-4025
Fax
(714) 960-4285

Open in Google Maps

NPI record

NPI
1720239833
Entity type
Individual (Type 1)
Enumeration date
October 7, 2008
Last updated
October 22, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 25611 CA

About Dr. Pitzak

Larry Vernon Pitzak, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 43983 Medinah Dr, Indio, CA 92201-8901. The NPI number 1720239833 was assigned on October 7, 2008 and the record was last updated on October 22, 2013.

Dr. Pitzak lists a license in the registry: #25611 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry Vernon Pitzak, D.D.S.?

The NPI number is 1720239833.

What is the phone number of Dr. Pitzak?

The phone number listed for the practice location is (714) 396-4025.

Where is Dr. Pitzak located?

43983 Medinah Dr, Indio, CA 92201-8901.

What is the taxonomy code for Dr. Pitzak?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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 General Practice Dentistry providers in Indio

All General Practice Dentistry providers in Indio, CA →