| Larry D Dormois, DDS, MS | |
|
875 Union Ave, Memphis, TN 38103 | |
| (901) 448-6240 | |
| Not Available |
| Full Name | Larry D Dormois |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 875 Union Ave, Memphis, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386700839 | NPI | - | NPPES |
| 4031775 | Other | TN | BCBS TN PROVIDER |
| 6049 | Medicaid | TN | |
| 109831608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2335 (Mississippi) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 3545 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Dormois, DDS, MS 7118 Bell Manor Cv, Germantown, TN 38138-1900 Ph: (901) 758-8066 | Larry D Dormois, DDS, MS 875 Union Ave, Memphis, TN 38103 Ph: (901) 448-6240 |
Dr. Yousef Odeh Jefferson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2953 Broad Ave, Memphis, TN 38112 Phone: 901-842-3171 | |
Dr. Mark David Devincenzi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2805 Summer Oaks Dr, Memphis, TN 38134 Phone: 901-881-0483 | |
Dr. David Richard Cagna, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Uthsc College Of Dentistry, 875 Union Avenue, Memphis, TN 38163 Phone: 901-448-6642 Fax: 901-448-1294 | |
Dr. Thomas Henry Shipmon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5170 Sanderlin Ave, Suite 203, Memphis, TN 38117 Phone: 901-767-3603 Fax: 901-761-1969 | |
Dr. Robert Wood Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Ms. Ragonva Shante Walls, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1273 E Raines Rd, Memphis, TN 38116 Phone: 901-398-6435 | |
Dr. John Douglas Seeberg, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 875 Union Ave, Memphis, TN 38163 Phone: 901-448-6267 Fax: 901-448-2671 |