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Dr. Lewis C Larson, DMD
Periodontist in Celebration, Florida
NPI 1619005790

Lewis C Larson is a Periodontist based in Celebration, FL and is specialized in Periodontics. Lewis C Larson practices in Celebration, FL and has the professional credentials of DMD. The NPI Number for Lewis C Larson is 1619005790 and holds a License No. DN 7443 (Florida).

The current practice location address for Lewis C Larson is 400 Celebration Pl, Celebration, FL and can be reached out via phone at 407-566-2222 and via fax at 407-566-1650.

Location: 400 Celebration Pl, Celebration, FL, 34747-4991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619005790
Provider Name
Lewis C Larson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
400 Celebration Pl, Celebration, FL, 34747-4991
Phone Number
407-566-2222
Fax Number
407-566-1650
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
400 Celebration Pl
City
Celebration
State
Florida
Zip
34747-4970
Phone Number
407-566-2222
Fax Number
407-566-1650
person
Provider Business Mailing Address Details
Address
400 Celebration Pl
City
Celebration
State
Florida
Zip
34747-4970
Phone Number
407-566-2222
Fax Number
407-566-1650
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DN 7443 (Florida)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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