Damien Eric Lawhorn, RDH
Individual provider Active NPI Dental Hygienist · Pine Ridge, SD
NPI 1154862068 · NPPES record last updated Mar 10, 2017
Key facts
- NPI
- 1154862068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH3623 (NM)
- Practice address
- East Hwy 18
Pine Ridge, SD 57770-1201 - Phone
- (605) 867-3078
- Fax
- (605) 867-3229
- NPI assigned
- Mar 10, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| DH3623 | NM | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH3623 | NM | Yes |
Addresses
Primary practice location
East Hwy 18
Pine Ridge, SD 57770-1201
Mailing address
PO Box 1201
Pine Ridge, SD 57770-1201
Phone (605) 867-3078
Other providers in Pine Ridge, SD
- Peter I Juve
- Christopher Harris Keck
- Keith Lincoln Keller
- Debra Lacey
- Tenecia Dawn Lancaster
- Wendi S Lewin
- Siyue Li
- Jodi Lias
- Nora Somatra Lim
- Julia Nancy Littlehawk
All providers in Pine Ridge, SD · Dental Hygienist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2017. 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.