Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Larry Lee Jack, DDS

Individual provider Dentist · NPI 1386982247

Dr. Larry Lee Jack, DDS is a Dentist in Leadville, Colorado. Practices as a sole proprietor. Licensed in Colorado and Maryland.

Licensed in
CO, MD
In the registry since
2013
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

404 E 7th St
Leadville, CO 80461-3131
Phone: (410) 980-5433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7752 (CO)
Dentist Taxonomy 122300000X · Licence 9327 (MD)

Record details

NPI number1386982247
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 27, 2013
Last updated in NPPESJanuary 27, 2013
Mailing addressPo Box 476, Leadville, CO 80461-0476

Other providers in Leadville