Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRISCILLA PICKENS-LARSON, DMD

Active

PRISCILLA PICKENS-LARSON, DMD is a Orthodontics healthcare provider located in MOORE, Oklahoma. NPI 1396945358 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · MOORE, OK

Registration Details

NPI Number: 1396945358
Provider Type: Individual
Gender: Female
NPI Issued: Jul 18, 2007 (19.101036069891 yrs)
Last Updated: Jul 14, 2020
Licenses: 25416 (TX)

SPECIALTYLICENSE#189 (OK)

Practice Information

Address: 717 S I 35 SERVICE RD STE C

MOORE, OK, 731603190
Browse OK providers · Browse ZIP 73160
Phone: 4053784774
Fax: 4053784775
Primary Specialty: Orthodontics
1223X0400X
Additional Specialty: Orthodontics

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.