National Provider Identifier

Alicia Marie Larsen, RDH

Alicia Marie Larsen, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Geneva, NY and a listed phone number of (315) 789-7922.

NPI 1265165054Geneva, NYDental Hygienist

Profile Overview

NPI
1265165054
Provider Type
Individual
Primary Specialty
Dental Hygienist
Enumeration Date
July 08, 2022
Last Updated
July 08, 2022

Practice Location

  • 140 Washington St
  • Geneva, NY 14456-2839

Phone: (315) 789-7922

Mailing Address

  • 3231 Brand RD
  • Clyde, NY 14433-9728

Specialties

  • Dental Hygienist (124Q00000X)

Endpoints

  • Hygiene@genevadds.com

    Direct Messaging Address | Direct | Other | Geneva, NY 14456

    Direct Business E-Mail

Full Record
NPI
1265165054
Entity Type
Individual
Last Name
Larsen
First Name
Alicia
Middle Name
Marie
Name Prefix
Mrs.
Credential
RDH
Mailing Street Address
3231 Brand RD
Mailing City
Clyde
Mailing State
NY
Mailing ZIP Code
14433-9728
Mailing Country
US
Mailing Phone
(315) 604-7257
Practice Street Address
140 Washington St
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2839
Practice Country
US
Practice Phone
(315) 789-7922
Enumeration Date
July 08, 2022
Last Updated
July 08, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
July 08, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dental Hygienist (124Q00000X)
Other Identifiers
031238 (NY)