Dr. Larry Lee Jack
DDS
Dentist
About Dr. Larry Lee Jack
Dr. Larry Lee Jack, DDS, is a male healthcare professional specializing in Dentist, registered under National Provider Identifier (NPI) number 1386982247. Their primary practice is located at 404 E 7TH ST, Leadville, Colorado 80461.
Patients can reach the office at (410) 980-5433. Dr. Larry Lee Jack is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.
Dr. Larry Lee Jack received $70 in Medicare payments in 2018 across 2 claims. Dr. Larry Lee Jack has been NPI-registered since 2013.
Key Metrics
Medicare Payments
$70.00
Year 2018
Payment Count
2
Year 2018
Doctor Details
Identity & Credentials
- NPI Number
- 1386982247
- Entity Type
- Individual
- First Name
- Larry
- Last Name
- Jack
- Credential
- DDS
- Gender
- Male
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 404 E 7TH ST
- City
- Leadville
- State
- Colorado
- ZIP
- 80461-3131
- Country
- United States
- Phone
- (410) 980-5433
Specialty & Taxonomy
- Primary Specialty
- Dentist
- Classification
- Dentist
- Taxonomy Code
- 122300000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- PO BOX 476
- City
- LEADVILLE
- State
- CO
- ZIP
- 804610476
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Prescriber Information
- Authorized Prescriber
- Yes
Frequently Asked Questions
What is Dr. Larry Lee Jack's NPI number?
What does Dr. Larry Lee Jack specialize in?
Where is Dr. Larry Lee Jack located?
Does Dr. Larry Lee Jack accept Medicare?
Does Dr. Larry Lee Jack offer telehealth or virtual visits?
Can Dr. Larry Lee Jack prescribe medications?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Larry Lee Jack is 1386982247.