DR. LARRY R FICKLIN (NPI# 1962669283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962669283 |
| Entity Type | Individual |
| Full Name | DR. LARRY R FICKLIN |
| Credential | DDS |
| Practice Address |
104 Miller St New Haven MO 63068-1143 |
| Practice Telephone | 5732373038 |
| Practice Fax Number | 5732372987 |
| Mailing Telephone | 5732373038 |
| Mailing Fax Number | 5732372987 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 012855 | MO | Dental Providers |
| Street Address |
104 MILLER ST |
| City | NEW HAVEN |
| State | MO |
| Zip Code | 63068-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376013334 | Charles J Tritch | Physical Therapy Assistant | 9503 Mo-100, New Haven, MO 63068 | 2018-12-03 |
| 1982845442 | Barbara Eggert Dennis | Occupational Therapist | 9503 Hwy 100, New Haven Care Center Inc, New Haven, MO 63068 | 2009-03-13 |
| 1306975438 | Alternatives Care System, Inc. | Assisted Living Facility | 101 Arizona St, New Haven, MO 63068-1210 | 2007-03-05 |
| 1528511029 | Shawnda Jones | Occupational Therapy Assistant | 204 Macarthur St, New Haven, MO 63068-1262 | 2016-08-01 |
| 1497728562 | Thomas E Davis | Family Medicine | 9513 Highway 100, New Haven, MO 63068-1300 | 2006-02-09 |
| 1760479125 | New Haven Care Center, Inc | Skilled Nursing Facility | 9503 Highway 100, New Haven, MO 63068-1300 | 2005-09-30 |
| 1558806356 | New Haven Hospice Care Inc | Hospice Care, Community Based | 9503 Highway 100, Suite 101, New Haven, MO 63068-1300 | 2017-01-03 |
| 1174719215 | Patients First Health Care LLC | Family Medicine | 9513 Highway 100, New Haven, MO 63068-1300 | 2007-09-21 |
| 1992918114 | Barbara E King | Nurse Practitioner | 9513 Highway 100, New Haven, MO 63068-1300 | 2007-05-07 |
| 1588672133 | New Haven Ambulance District | Ambulance | 110 Industrial Dr, New Haven, MO 63068-1303 | 2006-08-03 |
| Find all providers in zip 63068 | ||||
| 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 |
|---|---|---|---|---|
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1215457551 | Advanced Dental Sleep Medicine of Connecticut, PC | Dentist | 46 Prince St Ste 310, New Haven, CT 06519-1600 | 2017-06-27 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| 1457691677 | Nishan R Halim | Dentist | 308 Alden Ave, Apt A, New Haven, CT 06515-2114 | 2013-02-25 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1407138837 | Robert P Ellison | Dentist | 615 Professional Park Dr, New Haven, IN 46774-1850 | 2011-09-12 |
| 1639473952 | Kara Gormley | Dentist | 111 Park St Ste 1b, New Haven, CT 06511-5472 | 2010-12-29 |
| 1538331434 | Iffat Nazneen | Dentist | 262 Grand Avenue, New Haven, CT 06513-3742 | 2008-03-31 |
| 1265570097 | Robert Barry Rosenblitt | Dentist | 1574 Chapel Street, New Haven, CT 06511-4205 | 2007-02-02 |
| 1265517015 | Stephen Carl Malinconico | Dentist | 770 Orange St, New Haven, CT 06511 | 2006-10-26 |
| Find all providers in NEW HAVEN | ||||
Please comment or provide details below to improve the information on DR. LARRY R FICKLIN.
| 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.