Larry Douglas Sheetrum, DDS
Dentist, General Practice in Augusta, AR. Individual provider (NPI-1).
NPI number1003087362
StatusActive
Last updated in NPPESSep 9, 2008
Details
- NPI
- 1003087362
- Entity type
- Individual (NPI-1)
- Name
- Larry Douglas Sheetrum
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2008
- Last updated
- Sep 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2307 | AR | Yes |
Practice location
623 N 9th StAugusta, AR 72006-2129
Phone 870-347-3300 · Fax 870-347-3492
Mailing address
623 N 9th StAugusta, AR 72006-2129
Phone 870-347-3300 · Fax 870-347-3492
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