Provider Demographics
NPI:1710259635
Name:LARKIN, GEORGE FRANCIS I (DMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FRANCIS
Last Name:LARKIN
Suffix:I
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 1:2517 ST. HWY. 35
Mailing Address - Street 2:BLDG. G SUITE202
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736
Mailing Address - Country:US
Mailing Address - Phone:732-528-9363
Mailing Address - Fax:
Practice Address - Street 1:2517 ST. HWY. 35
Practice Address - Street 2:BLDG. G SUITE202
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736
Practice Address - Country:US
Practice Address - Phone:732-528-9363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ09157122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist