Provider Demographics
NPI:1053754556
Name:LARKIN, KEVIN M (DDS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:M
Last Name:LARKIN
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 1:7129 CURTISS AVE
Mailing Address - Street 2:#6
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8080
Mailing Address - Country:US
Mailing Address - Phone:941-921-3121
Mailing Address - Fax:941-924-5946
Practice Address - Street 1:7129 CURTISS AVE
Practice Address - Street 2:#6
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8080
Practice Address - Country:US
Practice Address - Phone:941-921-3121
Practice Address - Fax:941-924-5946
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN9793122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist