| Dr Jennifer Sue Larson, DDS | |
|
216 N Lake St, Boyne City, MI 49712-1210 | |
| (231) 582-4480 | |
| (231) 582-4460 |
| Full Name | Dr Jennifer Sue Larson |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 216 N Lake St, Boyne City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629156500 | NPI | - | NPPES |
| 2901019425 | Other | MI | STATE OF MICHIGAN BOARD OF DENTISTRY |
| 4916278 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019425 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Sue Larson, DDS 216 N Lake St, Boyne City, MI 49712-1210 Ph: (231) 350-6747 | Dr Jennifer Sue Larson, DDS 216 N Lake St, Boyne City, MI 49712-1210 Ph: (231) 582-4480 |
Dr. James Edward Straley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 North Lake Street, Boyne City, MI 49712 Phone: 231-582-4480 Fax: 231-582-4460 | |
Dr. Michael Andrew Fleming, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 830 State St, Boyne City, MI 49712 Phone: 231-582-8000 Fax: 231-582-6853 | |
John Rex Moriarity, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 830 State St, Boyne City, MI 49712 Phone: 231-582-8000 Fax: 231-582-6853 | |
Danielle Swartz, Dentist Medicare: Medicare Enrolled Practice Location: 112 E Main St, Boyne City, MI 49712 Phone: 231-582-6944 | |
Dr. Joel W Paga, DDS Dentist Medicare: Medicare Enrolled Practice Location: 112 S Lake St, Boyne City, MI 49712 Phone: 231-582-9781 Fax: 231-582-7679 | |
Mr. Dennis Edward Kirkby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 E Main St, Boyne City, MI 49712 Phone: 231-582-6944 Fax: 231-582-6978 |