Larry J. Small Dmd Pllc

NPI #1780057612 in Mariann, Florida

Provider Information

NPI Number: 1780057612
Entity Type: Organization
Organization Name: Larry J. Small Dmd Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 30, 2015
Last Updated: May 30, 2019

Practice Location

Address: 2822 HIGHWAY 71
Address 2: SUITE H
City: Mariann
State: Florida
ZIP Code: 32446-0001
Phone: (850) 272-9393

Authorized Official

Name: DR. LARRY JAMES SMALL, DMD
Title: DENTIST & OWNER
Phone: (850) 272-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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