Provider Demographics
NPI:1104089259
Name:LARRABEE, TODD N (DDS)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:N
Last Name:LARRABEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4886 PORT ROYAL RD STE 250
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-8802
Mailing Address - Country:US
Mailing Address - Phone:317-417-0178
Mailing Address - Fax:
Practice Address - Street 1:4886 PORT ROYAL RD STE 250
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-8802
Practice Address - Country:US
Practice Address - Phone:317-417-0178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000092431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice