Provider Demographics
NPI:1134143118
Name:FRENCH, DAVID LARSSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LARSSON
Last Name:FRENCH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LITCHFIELD RD
Mailing Address - Street 2:P.O. BOX 5
Mailing Address - City:HARWINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06791-2102
Mailing Address - Country:US
Mailing Address - Phone:860-485-1167
Mailing Address - Fax:860-485-1521
Practice Address - Street 1:300 LITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:HARWINTON
Practice Address - State:CT
Practice Address - Zip Code:06791-2102
Practice Address - Country:US
Practice Address - Phone:860-485-1167
Practice Address - Fax:860-485-1521
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT44071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT020004407CT01OtherANTHEM BLUE CROSS INS.