Individual
PHILIP J LARKIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
148 MAIN ST, SPRINGFIELD, VT 05156-3510
(802) 885-4140
(802) 885-8116
Mailing address
148 MAIN ST, SPRINGFIELD, VT 05156-3510
(802) 885-4140
(802) 885-8116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0001103
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002774
—
VT
05
—
30302644
—
NH
01
—
5792
BLUE CROSS PROVIDER NUMBE
VT
01
—
859049
TRICARE PROVIDER NUMBER
—
Enumeration date
06/12/2006
Last updated
07/09/2007
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