DR. SCOTT COBURN LARSEN (NPI# 1346343373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346343373 |
Entity Type | Individual |
Full Name | DR. SCOTT COBURN LARSEN |
Credential | DMD |
Practice Address |
245 E Broadway Jackson WY 83001 |
Mailing Address |
Po Box 4935 245 E Broadway Jackson WY 83001 |
Practice Telephone | 3077334778 |
Practice Fax Number | 3077348041 |
Mailing Telephone | 3077334778 |
Mailing Fax Number | 3077348041 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 1060 | WY | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 118068100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104113489 | Scott David Larsen | Pharmacist | 200 North Marketplace Drive, Centerville, UT 84025 | 2011-07-07 |
1669770053 | Scott A. Larsen | Chiropractor | 330 S Monroe St, San Jose, CA 95128-5108 | 2011-03-09 |
1134443682 | Scott Larsen | Pharmacist | 2100 Gateway Centre Blvd, 300, Morrisville, NC 27560-6228 | 2010-03-25 |
1356464903 | Scott Craig Larsen | Dentist | 201 W Guadalupe Rd Ste 102, Gilbert, AZ 85233-3318 | 2007-04-09 |
1023147295 | Scott Christian Larsen | Dentist | 240 Village Center St, Nixa, MO 65714-8869 | 2007-03-05 |
1982913679 | Scott Rex Larsen | Student in an Organized Health Care Education/Training Program | 2240 Adams Ave, Ogden, UT 84401-1511 | 2010-09-29 |
Street Address |
245 E BROADWAY |
City | JACKSON |
State | WY |
Zip Code | 83001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
Find all providers in zip 83001 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
1184249278 | Sleep Better Solutions LLC | Dentist | 9 Chatwick Cv, Jackson, TN 38305-5642 | 2020-06-15 |
1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
1124689864 | Hannah Farrar | Dentist | 2064 S Highland Ave, Jackson, TN 38301-7741 | 2019-06-24 |
1417515214 | Richard Yoo | Dentist | 3857 Cooper St Ofc, Jackson, MI 49201-7547 | 2019-06-05 |
1487148078 | Tanvi Patil | Dentist | 1074 Jackson Crossing, Jackson, MI 49202-2039 | 2018-06-18 |
1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
1497292239 | Advanced Dental Clinic | Dentist | 1555 E County Line Road, Jackson, MS 39211 | 2017-01-31 |
1598131336 | S Kaur Dds Inc | Dentist | 12120 Industry Blvd Ste 35, Jackson, CA 95642-9374 | 2015-08-17 |
1841675931 | Miriam Tygier Furlong | Dentist | 186 W Veterans Hwy, Jackson, NJ 08527-3410 | 2015-07-30 |
Find all providers in JACKSON |
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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.