Dr Bruce Merrill Larsen, DDS PC is a
Dentist based in Mt Pleasant, Utah. Dr Bruce Merrill Larsen is licensed to practice in Utah (license number 20-2063480) and his current practice location is
240 N State St # 21, Mt Pleasant, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 462-2491.
NPI number for Dr Bruce Merrill Larsen is 1184839912 and his current mailing address is 240 N State St # 21, Mt Pleasant, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184839912.
Healthcare Provider's Profile
| Full Name | Dr Bruce Merrill Larsen |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 240 N State St # 21, Mt Pleasant, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184839912
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bruce Merrill Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184839912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 20-2063480 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Merrill Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce Merrill Larsen, DDS PC
240 N State St # 21,
Mt Pleasant, UT 84647-1107
Ph: (435) 462-2491 | Dr Bruce Merrill Larsen, DDS PC
240 N State St # 21,
Mt Pleasant, UT 84647-1107
Ph: (435) 462-2491 |
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