NPI 1073503488

Thomas J Larkin, DMD

Practitioner Dentist Anna, IL

Practice location

Address: 513 N Main St, Anna, IL 62906-1668
Phone: (618) 833-4471
Fax: (618) 833-4900

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 019-022104 (IL)

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Registry record

NPI: 1073503488
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2005
Record last updated: 25 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.