Provider Demographics
NPI:1407378342
Name:YARBROUGH & LARKIN ORTHODONTICS, LLC
Entity Type:Organization
Organization Name:YARBROUGH & LARKIN ORTHODONTICS, LLC
Other - Org Name:SUNSET ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODOTIST
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-385-2844
Mailing Address - Street 1:2450 SUNSET POINT RD STE B
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1516
Mailing Address - Country:US
Mailing Address - Phone:727-797-5460
Mailing Address - Fax:813-333-7323
Practice Address - Street 1:2450 SUNSET POINT RD STE B
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1516
Practice Address - Country:US
Practice Address - Phone:727-797-5460
Practice Address - Fax:813-333-7323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223P0221X
FLDN184451223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty