Dr Cyrus Michael Larson, DMD | |
628 South Ave W, Suite B, Missoula, MT 59801-8020 | |
(801) 310-7039 | |
Not Available |
Full Name | Dr Cyrus Michael Larson |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 628 South Ave W, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891096079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 9630 (Montana) | Primary |
Entity Name | Granite County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922073907 PECOS PAC ID: 3678480423 Enrollment ID: O20040210000664 |
Mailing Address | Practice Location Address |
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Dr Cyrus Michael Larson, DMD 628 South Ave W, Suite B, Missoula, MT 59801-8020 Ph: (801) 310-7039 | Dr Cyrus Michael Larson, DMD 628 South Ave W, Suite B, Missoula, MT 59801-8020 Ph: (801) 310-7039 |
Dr. Joseph Anthony Petrino, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 705 S Reserve St, Missoula, MT 59801 Phone: 406-542-1600 Fax: 406-542-8945 | |
Dr. D Briar Diggs, DDS MSD PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 521 Sw Higgins Ave, Missoula, MT 59803 Phone: 406-728-0397 Fax: 406-549-4483 | |
Dr. Matthew L Heaphy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 712 Kensington Ave, Missoula, MT 59801 Phone: 406-543-8347 Fax: 406-543-8650 | |
Stuart W Allyn, DDS, MD Dentist Medicare: Medicare Enrolled Practice Location: 805 S Reserve St, Missoula, Mt, Missoula, MT 59801 Phone: 406-549-6600 | |
Dr. Ryan Keith Huckeby, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Higgins Ave, Missoula, MT 59801 Phone: 406-728-9442 | |
Dr. Jason C Olsen, D.D.S., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 W Central Ave, Missoula, MT 59801 Phone: 406-728-2840 Fax: 406-728-3083 | |
Dr. Kyle Patrick Goroski, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Higgins Ave, Missoula, MT 59801 Phone: 406-728-9442 Fax: 406-728-0580 |