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LARRY LAMAR CARMICHAEL DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1710081963

Individual Registrant:
 LARRY LAMAR CARMICHAEL DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
454 DENSON DR  LINEVILLE, AL 36266-0159 US
Tel: 256-396-2928  Fax: 256-396-2920

Contact information for business:
PO BOX 159  LINEVILLE, AL 36266-0159 US
Tel: 256-396-2928  Fax: 256-396-2920

Registration Information:
NPI: 1710081963
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AL3322

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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