| Larry W Loveridge, Dmd, Pllc | |
|
1921 S Arthur St Kennewick WA 99338-1856 | |
| (509) 947-3862 | |
| (509) 735-9885 |
| Full Name | Larry W Loveridge, Dmd, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1921 S Arthur St, Kennewick, Washington |
| Authorized Official Name and Position | Larry W Loveridge (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5099473862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W Loveridge, Dmd, Pllc 1921 S Arthur St Kennewick WA 99338-1856 Ph: () - | Larry W Loveridge, Dmd, Pllc 1921 S Arthur St Kennewick WA 99338-1856 Ph: (509) 947-3862 |
| NPI Number | 1063666964 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063666964 | NPI | - | NPPES |
| 5023577 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DE00007618 (Washington) | Primary |
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