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Contact Information

CHASE LARSEN DMD PLLC
723 E 12200 S
DRAPER, UT84020
 Phone: 801-859-5680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for CHASE LARSEN DMD PLLC

NPI Number 1194322776
LBN Legal business name CHASE LARSEN DMD PLLC
Authorized official CHASE LARSEN - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2020
Last updated 06/07/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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