Organization Active NPI

Lawrence B. Evans, DDS, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lawrenceville, GA
National Provider Identifier
1316959547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9789 Issued in GA
Legal business name
LAWRENCE B. EVANS, DDS, MS, PC
Practice address
55 Towler Rd
Building B
Lawrenceville, GA 30045-4717
Phone
(770) 962-9560
Fax
(770) 822-4529
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Brian Evans, DDS, MS
Title
President
Phone
(770) 962-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9789 GA Primary

Addresses

Primary practice location

55 Towler Rd
Building B
Lawrenceville, GA 30045-4717

Mailing address

55 Towler Rd
Building B
Lawrenceville, GA 30045-4717
Phone (770) 962-9560

National Provider Directory

National Provider Directory

Locations

55 Towler Rd
Bldg B
Lawrenceville, GA 30046
Phone (770) 962-9560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316959547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TOWLER RD",
            "address_2": "BUILDING B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454717",
            "telephone_number": "770-962-9560",
            "fax_number": "770-822-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TOWLER RD",
            "address_2": "BUILDING B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454717",
            "telephone_number": "770-962-9560",
            "fax_number": "770-822-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE B. EVANS, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-962-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "9789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.