Larry Wareck

Primary specialty

DentistTaxonomy code 122300000X

License

2901013338 Issued in MI

Legal business name

LARRY WARECK

Practice address

2120 M 137 # 95
Interlochen, MI 49643-9386

Phone

(231) 276-9051

NPI assigned

Mar 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renee Wareck, MANAGER

Title

Wife

Phone

(231) 276-9051

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1558801720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 M 137 # 95",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439386",
            "telephone_number": "231-276-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 M 137 # 95",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439386",
            "telephone_number": "231-276-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY WARECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "WARECK",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "WIFE",
        "authorized_official_telephone_number": "231-276-9051",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta L Herbst, PA-C
• Jeanette Theresa Huddleston, R.N.
• Interlochen Center for the Arts
• Aubrey Jabour
• Aubry Lyn Langlois
• Debra E. Lewis, D.D.S.
• A. Barry Lishawa, D.D.S.
• Sandra Lockard, RN
• Shaun Paul Mancour
• Melissa Michael

• Dentist in Interlochen, MI
• Providers in Interlochen, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.