DR. JENNIFER SUE LARSON (NPI# 1629156500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629156500 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER SUE LARSON |
| Credential | DDS |
| Practice Address |
216 N Lake St Boyne City MI 49712-1210 |
| Practice Telephone | 2315824480 |
| Practice Fax Number | 2315824460 |
| Mailing Telephone | 2313506747 |
| Mailing Fax Number | 2315824460 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901019425 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4916278 | 05 | |
| MI | STATE OF MICHIGAN BOARD OF DENTISTRY | 2901019425 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512856 | Jennifer Larson | Nurse Practitioner | 8325 Barrens Rd, Roanoke, VA 24019-6701 | 2020-09-08 |
| 1427572189 | Jennifer S Larson | Social Worker | 4703 Nw 53rd Ave Ste B2, Gainesville, FL 32653-3403 | 2017-08-03 |
| 1972975019 | Jennifer Larson | Pharmacist | 2707 Gallop Dr, Santa Rosa, CA 95407-4541 | 2015-10-28 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1952610412 | Jennifer L Larson | Physical Therapist | 1309 W Guadalupe Rd, Suite 1, Mesa, AZ 85202-9112 | 2010-10-01 |
| 1477866762 | Jennifer Rae Larson | Pharmacist | 702 Eagle Hts, Apt. C, Madison, WI 53705-1587 | 2010-07-15 |
| 1508041807 | Jennifer Larson | Counselor | 25 E Washington St Ste 1406, Chicago, IL 60602-1820 | 2008-01-04 |
| 1902005903 | Jennifer Anne Larson | Dentist | 1110 Se 8th St Bldg 200, Ocala, FL 34471-4045 | 2007-07-11 |
| 1487665584 | Jennifer Rebekah Larson | Clinical Neuropsychologist | 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 | 2006-08-11 |
| 1184675233 | Jennifer Larson | Obstetrics & Gynecology | 3624 Brooks St Ste 101, Missoula, MT 59801-7338 | 2006-05-13 |
| Street Address |
216 N LAKE ST |
| City | BOYNE CITY |
| State | MI |
| Zip Code | 49712-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760319 | Pyramid of Hope Counseling, LLC | Counselor | 5 W. Main Street, Unit #3, Boyne City, MI 49712 | 2017-10-05 |
| 1992115679 | Rebecca L Dionne | Counselor | 101 River Street, Suite 100, Boyne City, MI 49712 | 2014-05-02 |
| 1255516597 | James Edward Straley | Dentist | 202 North Lake Street, Boyne City, MI 49712 | 2008-01-06 |
| 1538208657 | Edward Allan Fritch Jr. | Family Medicine | 719d N Lake St, Boyne City, MI 49712 | 2007-02-05 |
| 1992856884 | Christopher Fair | Chiropractor | 200 Air Industrial Park Drive, Boyne City, MI 49712 | 2007-01-16 |
| 1851371124 | Dennis Edward Kirkby | Dentist | 112 E Main St, Boyne City, MI 49712 | 2006-01-20 |
| 1417935040 | Carrie Jean-borowski Bollmann | Nurse Practitioner | 1249 M-75 South, Boyne City, MI 49712 | 2006-01-04 |
| 1588150064 | Echocardiography On Wheels, Lc | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-07 |
| 1811483571 | Tiffany Marie Faulknor | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-05 |
| 1679631923 | Boyne City Dental | Dentist | 830 State St, Boyne City, MI 49712 | 2006-12-05 |
| Find all providers in zip 49712 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679887970 | Boyne Lakeview Dental P.l.l.c. | Dentist | 202 N Lake St, Boyne City, MI 49712-1210 | 2010-07-29 |
| 1033443817 | Progressive Dental Care | Dentist | 112 East Main Strreet, Boyne City, MI 49712-1336 | 2009-09-25 |
| 1386618353 | Michael Andrew Fleming | Dentist | 830 State St, Boyne City, MI 49712-9179 | 2006-02-15 |
| 1104256387 | Park View Family Dentistry | Dentist | 202 N Lake St, Boyne City, MI 49712-1210 | 2013-11-25 |
| 1669768982 | David James Strawbridge | Dentist | 1 Water St, Suite 200, Boyne City, MI 49712-1810 | 2011-06-24 |
| 1477867679 | Michael A. Fleming D.d.s., P.C. | Dentist | 830 State St, Boyne City, MI 49712-9179 | 2010-07-29 |
| 1427183763 | John Rex Moriarity | Dentist | 830 State St, Boyne City, MI 49712-9179 | 2007-02-23 |
| 1679631923 | Boyne City Dental | Dentist | 830 State St, Boyne City, MI 49712 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700986 | Lake Orion Family Dentistry | Dentist | 1320 S Lapeer Rd, Lake Orion, MI 48360-1435 | 2020-11-05 |
| 1093315202 | Peninsula Family Dentistry, PC | Dentist | 3210 Us 41 W, Marquette, MI 49855-9483 | 2020-10-27 |
| 1437758398 | Pristine Dental Care | Dentist | 3021 E Walton Blvd, Auburn Hills, MI 48326-2368 | 2020-10-21 |
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1457968133 | Norman Family Dentistry PC | Dentist | 519 Ada Dr Se Ste A, Ada, MI 49301-9069 | 2020-09-28 |
| 1992312680 | Waely Dental Pllc | Dentist | 1769 Inkster Rd, Garden City, MI 48135-3028 | 2020-09-26 |
| 1164037362 | David Posada | Dentist | 1326 Marion Ave, Lincoln Park, MI 48146-2090 | 2020-09-14 |
| 1144835059 | Chelsea Anthony | Dentist | 23207 Norcrest Dr, Saint Clair Shores, MI 48080-2586 | 2020-09-09 |
| 1275147399 | Yuvraj Pannu | Dentist | 2501 W Pierson Rd Unit B, Flint, MI 48504-6802 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | BOYNE CITY |
| Zip Code | 49712 |
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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.