Bryce Robert Larsen is a Pocatello, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Bryce Robert Larsen is D3894 for General Practice Dentistry in Idaho. His current practice location is 950 Hospital Way, Suite B, Pocatello. Patients can reach him at 208-233-7007.
Bryce Robert Larsen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Bryce Robert Larsen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Bryce Robert Larsen
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
950 Hospital Way, Suite B, Pocatello, Idaho, 83201-2789
Phone:
208-233-7007
Fax:
208-233-2512
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821210535
NPI Enumeration Date:
03 May, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bryce Robert Larsen are as mentioned below.
License Number
Specialization
State
Status
D3894
General Practice Dentistry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Bryce Robert Larsen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8072105
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
950 Hospital Way, Suite B Pocatello, Idaho
Zip:
83201-2789
Phone Number:
208-233-7007
Fax Number:
208-233-2512
Patients can reach Bryce Robert Larsen at 950 Hospital Way, Suite B, Pocatello, Idaho or can call to book an appointment on 208-233-7007. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.