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Larry D Dormois, DDS,MS
Pediatric Dentist in Memphis, Tennessee
NPI 1386700839

Larry D Dormois is a Pediatric Dentist based in Germantown, TN and is specialized in Pediatric Dentistry. Larry D Dormois practices in Memphis, TN and has the professional credentials of DDS,MS. The NPI Number for Larry D Dormois is 1386700839 and holds a License No. 2335 (Tennessee).

The current practice location address for Larry D Dormois is 875 Union Ave, Memphis, TN and can be reached out via phone at 901-448-6240.

Location: 875 Union Ave, Memphis, TN, 38138-1900
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Provider Profile Details
NPI Number
1386700839
Provider Name
Larry D Dormois
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
875 Union Ave, Memphis, TN, 38138-1900
Phone Number
901-448-6240
Fax Number
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4031775 01 TN BCBS TN PROVIDER
6049 05 TN
109831608 05 AR
institution
Provider Business Practice Location Address Details
Address
875 Union Ave
City
State
Zip
38103
Phone Number
901-448-6240
Fax Number
person
Provider Business Mailing Address Details
Address
875 Union Ave
City
State
Zip
38103
Phone Number
901-448-6240
Fax Number
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Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2335 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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