Mr Larry Devan Gould, DDS PA is a
Dentist based in Mtn Home, Arkansas. Mr Larry Devan Gould is licensed to practice in Arkansas (license number 2426) and his current practice location is
206 South College St, Mtn Home, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 425-5959.
NPI number for Mr Larry Devan Gould is 1083728232 and his current mailing address is 206 South College St, Mtn Home, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083728232.
Healthcare Provider's Profile
| Full Name | Mr Larry Devan Gould |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 206 South College St, Mtn Home, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083728232
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Larry Devan Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083728232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2426 (Arkansas) | 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. Mr Larry Devan Gould 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 |
|---|
Mr Larry Devan Gould, DDS PA
206 South College St,
Mtn Home, AR 72653-0206
Ph: (870) 425-5959 | Mr Larry Devan Gould, DDS PA
206 South College St,
Mtn Home, AR 72653-0206
Ph: (870) 425-5959 |
Reviews and Comments