Stacey Nicole Larkin, RDH, OMT
Individual provider Active NPI Dental Hygienist · Carthage, TX
NPI 1942921606 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1942921606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 12158 (TX)
- Practice address
- 1022 W Garrison St
Carthage, TX 75633-2207 - Phone
- (817) 235-2737
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12158 | TX | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 12158 | TX | Yes |
Addresses
Primary practice location
1022 W Garrison St
Carthage, TX 75633-2207
Mailing address
1022 W Garrison St
Carthage, TX 75633-2207
Phone (817) 235-2737
Other providers in Carthage, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2022. 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.