Larry James Small D.M.D.

NPI 1033133475 - Dentist - 1223G0001X

NPI Details
NPI 1033133475
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
708 SPRING ST
GREEN COVE SPRINGS FL, 32043-3318, US
Phone (904) 284-6688
Fax (904) 284-9111
Business Location
PO BOX 9929
FLEMING ISLAND FL, 32006-0037, US
Phone (904) 284-6688
Fax (904) 284-9111
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN0010981
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According to our database, Dr. Larry James Small D.M.D. NPI is 1033133475, taxonomy code is 1223G0001X and license number is DN0010981, license state is located at Florida. Larry James Small D.M.D. physically located at 708 Spring St, Green Cove Springs FL, 32043-3318. NPI Number Larry James Small D.M.D. has the Individual type.

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1033133475 NPI number is provided on an as is basis without warranty of any kind. 1033133475 is maintained by the National Plan & Provider Enumeration System. The contents of Larry James Small D.M.D. are for informational purposes only.