DR. LARISSA MAE TOLLEY (NPI# 1861637613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861637613 |
Entity Type | Individual |
Full Name | DR. LARISSA MAE TOLLEY |
Credential | D.D.S. |
Practice Address |
1347 S. Beverly Casper WY 82609-4133 |
Mailing Address |
5230 S Elm St Casper WY 82601-6315 |
Practice Telephone | 3075770577 |
Mailing Telephone | 3033454187 |
Enumeration Date | 2008-12-09 |
Last Update Date | 2013-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
1227 | WY | Dental Providers |
Street Address |
1347 S. BEVERLY |
City | CASPER |
State | WY |
Zip Code | 82609-4133 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
Find all providers in zip 82609 |
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 |
---|---|---|---|---|
1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
1578916417 | Jessica Wells | Dentist | 1933 E A St, Casper, WY 82601-2224 | 2016-07-15 |
1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
1093951352 | Jack Benjamin Hardy | Dentist | 4611 Arroyo Dr, Suite 1, Casper, WY 82604-5116 | 2008-12-16 |
1992827489 | Randall L. Griffith I | Dentist | 153 S Fenway St, Casper, WY 82601-2721 | 2007-04-04 |
1780703223 | Melissa A Youmans | Dentist | 1122 S Conwell St, Casper, WY 82601-3965 | 2007-03-28 |
1558488742 | Roger Dean Batchelder | Dentist | 1555 E 12th St, Casper, WY 82601-4002 | 2007-03-23 |
1841331287 | Jessica Lynn Cassity | Dentist | 102 N Kenwood St, Casper, WY 82601-2724 | 2007-02-09 |
1225178965 | Harold K Neubert | Dentist | 514 So Durbin Street, Casper, WY 82601 | 2007-02-08 |
1770629628 | Paul Alan Dona | Dentist | 1201 S Elk Street, Casper, WY 82601-4009 | 2007-01-29 |
Find all providers in CASPER |
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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.