Dr. Peter Eric Larsen
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
305 W 12th Ave
Columbus
, Ohio 43210-1267
Dr. Peter Eric Larsen
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
305 W 12th Ave
Columbus
, Ohio 43210-1267
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Peter Eric Larsen
- Po Box 182357
- Columbus, OH
- Zip : 43218-2357
- Phone :
Second Address
- Dr. Peter Eric Larsen
- 305 W 12th Ave
- Columbus, OH
- Zip : 43210-1267
- Fax : (614) 292-9472
- Phone : (614) 292-5144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 18614 | OH |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 30.018614 | OH |
National Provider Identifier
| NPI | 1205912300 |
|---|---|
| Provider Name | Dr. Peter Eric Larsen |
| First Address | Columbus, OH 43218-2357 |
| Second Address | Columbus, OH 43210-1267 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 18/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.