Individual
DR. LARRY W LOVERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1921 S ARTHUR ST, KENNEWICK, WA 99338-7719
(509) 947-3861
(509) 735-9852
Mailing address
1921 S ARTHUR ST, KENNEWICK, WA 99338-1856
(509) 947-3862
(509) 735-9852
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00007618
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023577
—
WA
05
—
5036876
—
WA
01
—
CS10000217
CONSCIOUS SEDATION PERMIT
WA
Enumeration date
10/11/2006
Last updated
03/07/2023
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