| Organization Name: | LARRY G. CAUSEY, DDS., PA. |
| NPI Number: | 1104939776 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY GRADY CAUSEY (OWNER) |
| Mailing Address: | 204 S Marshall St Graham |
| State: | NC US |
| Postal Code: | 272533322 |
| Phone Number: | 3362271187 |
| Fax Number: | 3365061004 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 0993 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |