Lawrence H Kent, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4197 Issued in WI

Practice address

1912 Lexington Ave N
Roseville, MN 55113-6113

Phone

(651) 636-2420

Fax

(651) 482-6144

NPI assigned

Jun 22, 2005

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Minnetonka, MN
  • NPI 1598824880
  NPD (past)
• Momenta, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • North Oaks, MN
  • NPI 1497814032

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1255337564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 LEXINGTON AVE N STE 150",
            "address_2": "700 VILLAGE CENTER DRIVE, #170, NORTH OAKS, MN 55127",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136100",
            "telephone_number": "651-636-2420",
            "fax_number": "651-636-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 LEXINGTON AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136113",
            "telephone_number": "651-636-2420",
            "fax_number": "651-482-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "LAWRENCE",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "4197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33703200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Kenneth Keim,, D.D.S.
• Charles E Kelly, MD
• Lori L Kelly, RN, CNP
• Laura Marie Kelzer, RN
• Robert Bach Kennedy, OD
• Marnie Justine Kerels, RN
• Maya Rose Kern, LGSW
• Lucinda Adele Kessler, RN
• Aisha Shire Khalif
• Mohamud Khayre

• Oral and Maxillofacial Surgery (Dentist) in Roseville, MN
• Providers in Roseville, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.