A Larsen Wellness PC
Organization Active NPI Dental Clinic/Center · Orem, UT
NPI 1124641576 · NPPES record last updated May 20, 2020
Key facts
- NPI
- 1124641576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- A LARSEN WELLNESS PC
- Practice address
- 812 S State St
Orem, UT 84097-7026 - Phone
- (801) 691-7365
- NPI assigned
- May 20, 2020
- Organization subpart
- No
Authorized official
- Name
- Corbin Cowan
- Title
- Ceo
- Phone
- (405) 229-4052
National Provider Directory
Locations
812 S State St
Orem, UT 84097
Phone (801) 253-2896
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | |||
| Dental Anesthesiology |
1223D0004X | |||
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
812 S State St
Orem, UT 84097-7026
Mailing address
812 S State St
Orem, UT 84097-7026
Phone (801) 691-7365
Other names
- Neuvo Wellness
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.