Larry D Dormois is a Memphis, Tennessee based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Larry D Dormois is 3545 for Pediatric Dentistry in Tennessee. His current practice location is 875 Union Ave, Memphis. Patients can reach him at 901-448-6240.
Larry D Dormois provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Larry D Dormois 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:
Larry D Dormois
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S, M.S.
Accepts Medicare Assignment:
No
Practice Address:
875 Union Ave, Memphis, Tennessee, 38103
Phone:
901-448-6240
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:
1386700839
NPI Enumeration Date:
29 Dec, 2006
NPI Last Update On:
27 Aug, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry D Dormois are as mentioned below.
License Number
Specialization
State
Status
3545
Pediatric Dentistry
Tennessee
Primary
2335
Pediatric Dentistry
Mississippi
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Larry D Dormois such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4031775
Other
Tennessee
BCBS TN PROVIDER
6049
Medicaid
Tennessee
109831608
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7118 Bell Manor Cv, Germantown, Tennessee
Zip:
38138-1900
Phone Number:
901-758-8066
Fax Number:
901-448-6249
Patients can reach Larry D Dormois at 875 Union Ave, Memphis, Tennessee or can call to book an appointment on 901-448-6240. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.