LARISA REZNIK LDD NPI 1386839736

NPI Information

  • NPI: 1386839736
  • Provider Name: LARISA REZNIK, LDD
  • Classification: Denturist - 122400000X
  • Entity Type: Individual
  • Address: 11414 MATTHEWS WAY
    ANDERSON ISLAND, WA
    ZIP 98303
  • Phone: (253) 884-2369

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NPI Details

Larisa Reznik, LDD is a denturist in Anderson Island, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. Larisa Reznik, LDD NPI is 1386839736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11414 MATTHEWS WAY
ANDERSON ISLAND, WA
ZIP 98303
Phone: (253) 884-2369

The enumeration date for this NPI number is 9/10/2007 and was last updated on 9/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122400000XDenturistDN00000325WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15040068MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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