Provider Demographics
NPI:1255563169
Name:JUNCTION CITY FAMILY DENTAL CARE L.L.C.
Entity type:Organization
Organization Name:JUNCTION CITY FAMILY DENTAL CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:785-762-4313
Mailing Address - Street 1:PO BOX 1082
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-1082
Mailing Address - Country:US
Mailing Address - Phone:785-762-4313
Mailing Address - Fax:
Practice Address - Street 1:1038 W ASH ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-3462
Practice Address - Country:US
Practice Address - Phone:785-762-7764
Practice Address - Fax:785-762-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS607121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty