Trevor Wayne Lawson, D.D.S
Individual provider Active NPI General Practice Dentistry · Blountville, TN
NPI 1306287602 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1306287602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9699 (TN)
- Practice address
- 193 Franklin Dr
Blountville, TN 37617-4542 - Phone
- (423) 323-3321
- NPI assigned
- Jul 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 9699 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. G. Andrew Agett, DDS, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9699 | TN | Yes |
Addresses
Primary practice location
193 Franklin Dr
Blountville, TN 37617-4542
Mailing address
527 Anderson St
Morristown, TN 37814-4819
Other providers in Blountville, TN
- Jaylee Danielle King
- Melinda Anne King
- Judy K Kinkead
- Bambi Rachelle Krtausch
- Ashton Kay Lawson
- Pamela Denise Lewis
- Tanya Rae Light
- Sarah E Linnane
- Chelsea Paige Long
- Autumn Samantha Longworth
All providers in Blountville, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 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.