DR. ZACK LARSON (NPI# 1528323540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528323540 |
| Entity Type | Individual |
| Full Name | DR. ZACK LARSON |
| Credential | D.D.S. |
| Practice Address |
1093 Hancock Rd Bullhead City AZ 86442-5904 |
| Practice Telephone | 9287585588 |
| Mailing Telephone | 9287585588 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D008429 | AZ | Dental Providers |
| Street Address |
1093 HANCOCK RD |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508910902 | Michael Emett Thomas | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2007-01-22 |
| 1003474966 | Tanner Christopher Larson | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2019-06-04 |
| 1376036699 | Seth Graff Jennings | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2018-06-12 |
| 1548799406 | Tucker Reed Larson | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2017-06-05 |
| 1356495766 | Kirk Roland Larson | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2007-01-23 |
| 1619021029 | Thadd Jennings | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2007-01-23 |
| 1548314958 | Kyle Marsh Larson | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2007-01-23 |
| 1427102839 | Jennings-larson Family Dentistry | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| 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 |
|---|---|---|---|---|
| 1154827160 | Just for Kids Dental Group Bullhead, Pllc | Dentist | 2580 Hway 95 Ste 101, Bullhead City, AZ 86442-7324 | 2018-03-30 |
| 1316101728 | Arizona Dental Professionals, P.C. | Dentist | 3750 Highway 95, Suite 106, Bullhead City, AZ 86442-8218 | 2008-07-15 |
| 1174780415 | Russell Rima | Dentist | 1980 Hiway 95, Bullhead City, AZ 86442-6752 | 2008-05-22 |
| 1649460221 | Tri-states Dental, Inc. | Dentist | 1518 Sierra Vista Dr, Bullhead City, AZ 86442-6069 | 2007-07-30 |
| 1235336009 | Valley Dental Associates | Dentist | 1360 Ramar Rd, Bullhead City, AZ 86442-7146 | 2007-06-27 |
| 1780753087 | Robin Carl Sturms | Dentist | 1271 Baseline Rd, Bullhead City, AZ 86442-6717 | 2006-11-08 |
| 1609831783 | Faith Santiago | Dentist | 2250 Hiway 95, Suite 566, Bullhead City, AZ 86442-9013 | 2006-04-20 |
| 1548799406 | Tucker Reed Larson | Dentist | 1093 Hancock Rd, Bullhead City, AZ 86442-5904 | 2017-06-05 |
| 1194126466 | Mark William White | Dentist | 1360 Ramar Rd, Bullhead City, AZ 86442-7146 | 2014-09-05 |
| 1700018801 | Frederick Brock Lamb | Dentist | 1467 Palma Rd, Suite 3, Bullhead City, AZ 86442-6785 | 2009-08-22 |
| Find all providers in BULLHEAD CITY | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
Please comment or provide details below to improve the information on DR. ZACK LARSON.
| 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.