| Lawrence Dental Services Llc | |
|
915 Southwest Blvd Ste D Jefferson City MO 65109-5014 | |
| (573) 636-6220 | |
| (573) 636-2155 |
| Full Name | Lawrence Dental Services Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 915 Southwest Blvd Ste D, Jefferson City, Missouri |
| Authorized Official Name and Position | Lawrence Stewart Davis (OWNER) |
| Authorized Official Contact | 5736366220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Dental Services Llc 915 Southwest Blvd Ste D Jefferson City MO 65109-5014 Ph: (573) 636-6220 | Lawrence Dental Services Llc 915 Southwest Blvd Ste D Jefferson City MO 65109-5014 Ph: (573) 636-6220 |
| NPI Number | 1952505562 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952505562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE014989 (Missouri) | Primary |
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West Edgewood Dental, Vanderveen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3306 Emerald Ln, Jefferson City, MO 65109 Phone: 573-634-2222 Fax: 573-634-8812 | |
Paul N Cardon Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 W Stadium Blvd Ste B, Jefferson City, MO 65109 Phone: 573-636-5522 Fax: 573-636-3328 | |
Harry J Richter, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-634-3413 Fax: 573-634-5818 | |
Brian L Henningsen Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Southwest Blvd # B, Jefferson City, MO 65109 Phone: 573-635-4852 | |
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