Larry Douglas Sheetrum
Dentist - General Practice
623 N 9th St
Augusta
, Arkansas 72006-2129
Larry Douglas Sheetrum
Dentist - General Practice
623 N 9th St
Augusta
, Arkansas 72006-2129
(870) 347-3492
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Larry Douglas Sheetrum
- 623 N 9th St
- Augusta, AR
- Zip : 72006-2129
- Fax : (870) 347-3492
- Phone : (870) 347-3300
Second Address
- Larry Douglas Sheetrum
- 623 N 9th St
- Augusta, AR
- Zip : 72006-2129
- Fax : (870) 347-3492
- Phone : (870) 347-3300
Reviews
FAQs
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Is Larry Douglas Sheetrum a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 2307 | AR |
| Y | 213EG0000X | General Practice | 2307 | AR |
National Provider Identifier
| NPI | 1003087362 |
|---|---|
| Provider Name | Larry Douglas Sheetrum |
| First Address | Augusta, AR 72006-2129 |
| Second Address | Augusta, AR 72006-2129 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2008 |
| Last Update Date | 09/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 167415608 | (05) | AR |
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.