Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386982247 Individual Practitioner Male Practitioner

Dr. Larry Lee Jack , DDS

Dentist • Leadville, CO

Professional Overview & Biography Verified Profile Summary

Dr. Larry Jack, DDS is a registered healthcare professional specializing in Dentist in Leadville, CO. Practice services are available at 404 E 7TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

404 E 7th St

Leadville, CO 804613131

Telephone 4109805433

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Leadville, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Leadville, CO (2100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO 7752

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MD 9327

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2013

Registered at 404 E 7TH ST, LEADVILLE, CO 804613131 (Tel: 4109805433)

📍
Updated Business Mailing Address January 27, 2013

Registered at PO BOX 476, LEADVILLE, CO 804610476

👤
Provider Name / Credentials Updated January 27, 2013

Recorded as LARRY JACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2013

Dentist (License #7752 in CO)

🟢
Initial NPI Registration & Enumeration January 27, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386982247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2013
Last Update: January 27, 2013
Sole Proprietor: Yes

Mailing Address

Po Box 476

Leadville, CO 804610476

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.