Lawrence Joseph Sarkis, DDS
Individual provider Active NPI Dentist · Ripon, CA
NPI 1124457403 · NPPES record last updated Nov 6, 2013
Key facts
- NPI
- 1124457403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 32659 (CA)
- Practice address
- 102 S Walnut Ave
Ripon, CA 95366-2753 - Phone
- (209) 599-4176
- Fax
- (209) 599-4178
- NPI assigned
- Nov 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32659 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Llanell Vararaj Dental Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32659 | CA | Yes |
Addresses
Primary practice location
102 S Walnut Ave
Ripon, CA 95366-2753
Mailing address
102 S Walnut Ave
Ripon, CA 95366-2753
Phone (209) 599-4176
Other providers in Ripon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.