DR. JEFFREY J LARO (NPI# 1134472426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134472426 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY J LARO |
| Credential | DMD, MHS |
| Practice Address |
2090 Charlie Hall Blvd Suite 100 Charleston SC 29414-8200 |
| Practice Telephone | 8437667131 |
| Practice Fax Number | 8437661839 |
| Mailing Telephone | 8437667131 |
| Mailing Fax Number | 8437661839 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3171 | SC | Dental Providers |
| Street Address |
2090 CHARLIE HALL BLVD SUITE 100 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851644140 | William C Sasser | Dentist | 2090 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-8200 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184727 | Hillary Nona Wright | Dentist | 1064 Gardner Rd Ste 110, Charleston, SC 29407-5711 | 2017-06-19 |
| 1407117385 | Kara Grasso Veeder | Dentist | 173 Ashley Ave Ste 119, Charleston, SC 29425-8908 | 2012-06-06 |
| 1013288786 | Periodontal Associates LLC | Dentist | 33 Gamecock Ave Ste A, Charleston, SC 29407-3397 | 2012-01-26 |
| 1508089301 | Christine Marie Cole | Dentist | 520 Stone Creek Dr, Charleston, SC 29414-5051 | 2007-04-10 |
| 1457476566 | Christopher Jude Caputo | Dentist | 33a Gamecock Ave, Periodontal Associates, Pa, Charleston, SC 29407-3369 | 2007-03-20 |
| 1669530994 | Joe William Krayer | Dentist | 173 Ashley Bsb 346, Dental Faculty Prac College of Dental Medicine Musc, Charleston, SC 29425 | 2006-12-06 |
| 1629585880 | Renata Serricchio Leite | Dentist | 29 Bee Street, Charleston, SC 29425-0001 | 2018-01-09 |
| 1740646769 | Trident Dental Specialty Partners | Dentist | 6335 Dorchester Rd, Charleston, SC 29418-5103 | 2016-01-06 |
| 1114332921 | Zachary P Evans | Dentist | 1064 Gardner Rd, Suite #110, Charleston, SC 29407-5768 | 2014-07-01 |
| 1609207554 | Mark F. Yampolsky, Dds, Ms Dba Carolina Periodontics | Dentist | 1064 Gardner Rd, Suite #110, Charleston, SC 29407-5768 | 2013-12-03 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.