Individual
LARRY E HEARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3884 MONITOR ROAD, BAYSIDE COMMUNITY HEALTH CENTER, BAY CITY, MI 48706
(989) 671-2000
(989) 686-0638
Mailing address
501 LAPEER, HEALTH DELIVERY INC., SAGINAW, MI 48607
(989) 759-6400
(989) 759-6423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10133
MI
1223G0001X
General Practice Dentistry
Primary
2901010133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538345095
DELTA DENTAL
—
Enumeration date
01/15/2008
Last updated
05/13/2009
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