Larry R. Ficklin, DDS

Dentist · New Haven, MO

Individual Active NPI

NPI number 1962669283

Practice location

104 Miller St
New Haven, MO 63068-1143
Phone
(573) 237-3038
Fax
(573) 237-2987

Open in Google Maps

NPI record

NPI
1962669283
Entity type
Individual (Type 1)
Enumeration date
May 22, 2008
Last updated
May 22, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 012855 MO

About Dr. Ficklin

Larry R. Ficklin, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 104 Miller St, New Haven, MO 63068-1143. The NPI number 1962669283 was assigned on May 22, 2008 and the record was last updated on May 22, 2008.

Dr. Ficklin lists a license in the registry: #012855 (MO) 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 R. Ficklin, DDS?

The NPI number is 1962669283.

What is the phone number of Dr. Ficklin?

The phone number listed for the practice location is (573) 237-3038.

Where is Dr. Ficklin located?

104 Miller St, New Haven, MO 63068-1143.

What is the taxonomy code for Dr. Ficklin?

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.

Other Dentist providers in New Haven

All Dentist providers in New Haven, MO →