Larsen-Haslem Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3411869922 Issued in UT

Legal business name

LARSEN-HASLEM DENTAL LLC

Practice address

1214 W 500 S
Vernal, UT 84078-2916

Phone

(435) 781-2729

Fax

(435) 781-2719

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Daren Lynn Larsen, DDS

Title

Owner

Phone

(435) 781-2729

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1639567043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 W 500 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782916",
            "telephone_number": "435-781-2729",
            "fax_number": "435-781-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 W 500 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782916",
            "telephone_number": "435-781-2729",
            "fax_number": "435-781-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSEN-HASLEM DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-781-2729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "3411869922",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "65632849922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandaran Labrum
• Amber Marie Lancaster
• Kolby Lance, DMD
• Lasha Marie Lance
• Karyn Laris
• Codie Daryle Larsen
• Daren L Larsen, DDS
• Laura Hall LCSW - Progressive Therapy PC
• Learning Solutions LLC
• Learning Solutions LLC

• Dental Clinic/Center in Vernal, UT
• Providers in Vernal, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.