Provider Demographics
NPI:1457479982
Name:KEVIN M LARKIN DDS PA
Entity Type:Organization
Organization Name:KEVIN M LARKIN DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:941-921-3121
Mailing Address - Street 1:7129 CURTISS AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231
Mailing Address - Country:US
Mailing Address - Phone:941-921-3121
Mailing Address - Fax:941-924-5946
Practice Address - Street 1:7129 CURTISS AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231
Practice Address - Country:US
Practice Address - Phone:941-921-3121
Practice Address - Fax:941-924-5946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0009793122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty