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
Fax: (631) 689-2651
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376678698 NPPES
New York MEDICAID 01200146

Popular Providers