Provider Demographics
NPI:1477666998
Name:LARRABEE, PETER HARMON (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:HARMON
Last Name:LARRABEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58
Mailing Address - Street 2:
Mailing Address - City:BAR MILLS
Mailing Address - State:ME
Mailing Address - Zip Code:04004-0058
Mailing Address - Country:US
Mailing Address - Phone:207-929-6626
Mailing Address - Fax:207-929-6627
Practice Address - Street 1:175 NARRAGANSETT TRAIL
Practice Address - Street 2:
Practice Address - City:BUXTON
Practice Address - State:ME
Practice Address - Zip Code:04093-9998
Practice Address - Country:US
Practice Address - Phone:207-929-6626
Practice Address - Fax:207-929-6627
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice