Larry Pepper, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS020731L Issued in PA

Practice address

4700 Union Deposit Rd
Suite 260
Harrisburg, PA 17111-3774

Phone

(717) 540-1777

Fax

(717) 540-6857

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Larry Pepper Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral and Maxillofacial Surgery Innovations, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisburg, PA
  • NPI 1225126428
  NPD (past) Authorized official
• Central PA Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisburg, PA
  • NPI 1588625628
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1770579310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 UNION DEPOSIT RD STE 260",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113787",
            "telephone_number": "717-909-0530",
            "fax_number": "717-909-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 UNION DEPOSIT RD",
            "address_2": "SUITE 260",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113774",
            "telephone_number": "717-540-1777",
            "fax_number": "717-540-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS020731L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "PEPPER",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaclyn Annette Penson, PA
• Jill Pentangelo, CRNP
• Emily A Peoples, MD
• James F Peoples III, MD
• Walter C Peppelman, DO
• Maberlin Peralta
• Zinaida Perciuleac, MD
• Joseddy Perez Francisco
• Chanel L Perez, CRNP
• Irving Perez

• Oral and Maxillofacial Surgery (Dentist) in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.