DR. JEFFRY JAMES LARSON (NPI# 1811989270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811989270 |
| Entity Type | Individual |
| Full Name | DR. JEFFRY JAMES LARSON |
| Credential | DDS |
| Practice Address |
39th Medical Squadron Unit 7095 Box 185 Apo AE 09824 TR |
| Practice Telephone | 903223166104 |
| Mailing Telephone | 903223166104 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10673 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780804872 | Jeffry Hale Larson | Marriage & Family Therapist | 1190 N. 900 E., Room 274, Provo, UT 84602 | 2007-04-30 |
| Street Address |
39TH MEDICAL SQUADRON UNIT 7095 BOX 185 |
| City | APO |
| State | AE |
| Zip Code | 09824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688109 | Medhat G Bader | Dentist | 39th Medical Squadron, Unit 7095 Box 185, Apo, AE 09824 | 2005-09-01 |
| 1073506440 | Richard D Baker | Family Medicine | 39th Medical Squadron, Unit 7095 Box 185, Apo, AE 09824 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487902755 | Dennis Shay | Physical Therapist | Psc 94 Bldg 865, Apo, AE 09824 | 2012-08-17 |
| 1336378017 | Kelley Melissa Joyner-haasis | Military Health Care Provider | Building 965 Room 1j01a, Apo, AE 09824 | 2009-07-02 |
| 1558463125 | Elizabeth Ann Erickson | Family Medicine | Unit 7095 Box 185, Apo, NY 09824 | 2006-09-02 |
| 1306814041 | James Scott Green | Family Medicine | Psc 94 Box 2403, Apo Ae 09824, Incirlik, TURKEY 09824 | 2006-03-09 |
| 1831164607 | Bradley Charles Ellis | Family Medicine | Psc 94 Box 2547, Apo, AE 09824 | 2006-02-23 |
| 1598751042 | Elizabeth Waters Mclean | Speech-Language Pathologist | 39th Medical Group, Unit 7095 Box 185, Apo, AE 09824 | 2005-09-21 |
| 1700870862 | Nathan Gregory Russell | Dentist | Psc 94 Box 168, Apo, AE 09824 | 2005-09-06 |
| 1487647707 | Laura C Fields | Physical Therapist | Psc 94 Box 2219, Apo Ae, INCIRLIK 09824 | 2005-08-23 |
| 1063981157 | Lucas Gil Borg | Dentist | Psc 94, Apo, AE 09824 | 2018-11-19 |
| 1629489901 | Aaron Gause | Dentist | Psc 94, Incirlik Air Base, INCIRLIK AIR BASE 09824 | 2014-05-08 |
| Find all providers in zip 09824 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| 1669088852 | Matthew Dejong | Dentist | Kleber Dental Clinic, Bldg 3287, Apo, AE 09227 | 2020-09-22 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1659927937 | Benjamin Kyunghan Yoon | Dentist | 618th Dental Company, Carius Dental Clinic Unit #15652, Attn: Credentails Coordinator, Apo, AP 96271-5245 | 2019-08-13 |
| 1477108967 | Shane Clay Hoffner | Dentist | 618th Dental Co, Carius Dental Clinic Bldg# P3020, Attn: Credentials Office, Apo, AP 96271-5245 | 2019-08-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1437712130 | Andrea Rose Deese | Dentist | Raf Lakenheath 48 Mdg / Sghc, Unit 5115, Apo, AE 09461-5115 | 2019-04-17 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| Find all providers in APO | ||||
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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.