Provider Demographics
NPI:1457140642
Name:LARKIN, NATHAN JOHN (DMD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:JOHN
Last Name:LARKIN
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W HUBBARD ST UNIT 1410
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-4920
Mailing Address - Country:US
Mailing Address - Phone:612-716-4360
Mailing Address - Fax:
Practice Address - Street 1:221 W HUBBARD ST UNIT 1401
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-4920
Practice Address - Country:US
Practice Address - Phone:612-716-4360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant