Provider Demographics
NPI:1386216349
Name:LARGEN, VALERIE LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:LYNN
Last Name:LARGEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:LYNN
Other - Last Name:LARGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1310 ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-2760
Mailing Address - Country:US
Mailing Address - Phone:402-371-3745
Mailing Address - Fax:
Practice Address - Street 1:1105 S 13TH ST STE 200
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-5767
Practice Address - Country:US
Practice Address - Phone:402-371-3745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-10
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE77511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice