VERNON A LARSEN (NPI# 1417138793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417138793 |
| Entity Type | Individual |
| Full Name | VERNON A LARSEN |
| Credential | D.D.S. |
| Practice Address |
59 Racine St Menasha WI 54952-3133 |
| Practice Telephone | 9207224293 |
| Practice Fax Number | 9207223394 |
| Mailing Telephone | 9207224293 |
| Mailing Fax Number | 9207223394 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4001803 | WI | Dental Providers |
| Street Address |
59 RACINE ST |
| City | MENASHA |
| State | WI |
| Zip Code | 54952-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396768669 | Vernon A. Larsen D.d.s., S.c. | Dentist | 59 Racine St, Menasha, WI 54952-3133 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776239 | Sharon Louise Crowe | Dental Hygienist | 1814 North Appleton Road, Menasha, WI 54952 | 2009-04-07 |
| 1003056110 | Nicole Marie Guyette | Dental Hygienist | 814 N. Appleton Road, Menasha, WI 54952 | 2009-03-02 |
| 1760627624 | Jan Charles Sarnecki | Orthopaedic Surgery | 1814 N. Appleton Road, Menasha, WI 54952 | 2008-12-08 |
| 1588828297 | Lesley R Lathrop | Registered Nurse | 1764 Oakridge Court, Menasha, WI 54952 | 2008-07-11 |
| 1699965137 | Lisa Randerson | Counselor | 1427c Province Terrace, Menasha, WI 54952 | 2007-07-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1366527947 | Karen Patricia Schmidt | Case Manager/Care Coordinator | 1810 Appleton Road, Menasha, WI 54952 | 2006-10-25 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1386135614 | Leslie J Steckbauer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-05-22 |
| Find all providers in zip 54952 | ||||
| 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 |
|---|---|---|---|---|
| 1447316518 | Depas Family Dental Care, S. C. | Dentist | 1431 Province Ter, Menasha, WI 54952-7003 | 2006-12-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1700800810 | Robert Richard Chabalowski | Dentist | 58 Racine St, Menasha, WI 54952-3154 | 2006-07-26 |
| 1396768669 | Vernon A. Larsen D.d.s., S.c. | Dentist | 59 Racine St, Menasha, WI 54952-3133 | 2006-07-26 |
| 1174545438 | Michael J Wockenfus | Dentist | 903 E Airport Rd, Menasha, WI 54952-1942 | 2006-07-24 |
| 1922066240 | Ronald C Possell | Dentist | 1159 Wittmann Dr, Menasha, WI 54952-3607 | 2006-05-03 |
| 1881151256 | Quirt Family Dentistry | Dentist | 1155 Wittmann Dr, Menasha, WI 54952-3607 | 2019-02-21 |
| 1154541001 | David Arthur De Pas | Dentist | 1431 Province Ter, Menasha, WI 54952-7003 | 2007-04-25 |
| 1417177361 | Susan Kay De Pas | Dentist | 1431 Province Ter, Menasha, WI 54952-7003 | 2007-04-25 |
| Find all providers in MENASHA | ||||
Please comment or provide details below to improve the information on VERNON A LARSEN.
| 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.