Theodore Lax, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

036444-1 Issued in NY

Practice address

103 Washington St
Elmira, NY 14901-3220

Phone

(607) 737-2028

Fax

(607) 737-2016

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144283391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013220",
            "telephone_number": "607-737-2028",
            "fax_number": "607-737-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013220",
            "telephone_number": "607-737-2028",
            "fax_number": "607-737-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAX",
        "first_name": "THEODORE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NY",
            "license": "036444-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036444-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Phillip Lavender, MSW
• Lawrence J Waite
• Bryanna Rae Lawrence, LMSW
• Michelle Lawrence
• Helen Lawson, C.N.M.
• Berta S. Lazaar
• Jennifer Lynne Lazarou, M.S., CCC-SLP
• Marie Le, PHARMD
• Piotr Lechowski, PT
• Ann S Lee, DDS

• Public Health Dentistry in Elmira, NY
• Providers in Elmira, NY by specialty
• Public Health Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.