Provider Demographics
NPI:1194977942
Name:LAROSILIERE AND ASSOCIATES DENTAL CARE, PA
Entity type:Organization
Organization Name:LAROSILIERE AND ASSOCIATES DENTAL CARE, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LAROSILIERE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-568-8444
Mailing Address - Street 1:5805 SILVER HILL RD
Mailing Address - Street 2:# G
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-1168
Mailing Address - Country:US
Mailing Address - Phone:301-568-8444
Mailing Address - Fax:
Practice Address - Street 1:5805 SILVER HILL RD
Practice Address - Street 2:# G
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-1168
Practice Address - Country:US
Practice Address - Phone:301-568-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty