Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYREL LARSEN
ActiveTYREL LARSEN is a Orthodontics healthcare provider located in MARION, Illinois. NPI 1396366381 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MARION, IL
Registration Details
- NPI Number
- 1396366381
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2020 (6.2642447435427 yrs)
- Last Updated
- Nov 15, 2023
- Licenses
-
DS035312 (PA)021.003269 (IL)
Practice Information
- Address
-
3108 W DEYOUNG ST STE AMARION, IL, 629595548Browse IL providers · Browse ZIP 62959
- Phone
- 4792540669
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in MARION, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TONI MARIE NORMAN | DMD, MS | 1427383991 |
| DR. MICHAEL KEVIN COOK | D.D.S., M.S.D | 1538597125 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.