Lawrence, J Richard
Lawrence, J Richard is an individual health care provider with primary practice located at 232 Belle Mead Rd Suite 7, East Setauket NY 11733. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lawrence, J Richard can be contacted via phone (631) 689-2650.Contact Information
Primary practice address
232 Belle Mead Rd Suite 7
East Setauket NY 11733
Phone: (631) 689-2650
Fax: (631) 689-2651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 36108 | New York |
Profile Details
| NPI number | 1376678698 |
|---|---|
| LBN Legal business name | Lawrence, J Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376678698 | NPPES |
| New York | MEDICAID | 01200146 |
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