| Larry J. Small Dmd Pllc | |
|
2822 Highway 71 Suite H Mariann FL 32446-0001 | |
| (850) 272-9393 | |
| (850) 372-4540 |
| Full Name | Larry J. Small Dmd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2822 Highway 71, Mariann, Florida |
| Authorized Official Name and Position | Larry James Small (DENTIST & OWNER) |
| Authorized Official Contact | 8502729393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry J. Small Dmd Pllc 2822 Highway 71 Suite H Mariann FL 32446-0001 Ph: (850) 272-9393 | Larry J. Small Dmd Pllc 2822 Highway 71 Suite H Mariann FL 32446-0001 Ph: (850) 272-9393 |
| NPI Number | 1780057612 |
|---|---|
| Provider Enumeration Date | 10/30/2015 |
| Last Update Date | 05/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780057612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN0010981 (Florida) | Primary |