Active NPI
Martha M. Lawrence, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Gainesville, FL
National Provider Identifier
1417950320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- FTP589
- Practice address
- 1395 Center Dr # D7-6a
Ufcd Oral and Maxillofacial Surgery, Box 100416
Gainesville, FL 32610-0416 - Phone
- (352) 273-6750
- Fax
- (352) 392-7609
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3065 | ME | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | FTP589 | FL | Primary |
Addresses
Primary practice location
1395 Center Dr # D7-6a
Ufcd Oral and Maxillofacial Surgery, Box 100416
Gainesville, FL 32610-0416
Mailing address
1395 Center Drive, D7-6a, Box 100416
Uf College of Dentistry Oral and Maxillofacial Surgery
Gainesville, FL 32610-0416
Phone (352) 273-6750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FTP589 | Other | FL | UNIVERSITY OF FLORIDA TEACHING PERMIT |
| MM0862 | Other | ME | PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FTP589 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 3065 | ME | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Associates Incorporated | Current | Accepting new patients | |
| Central Maine Oral & Maxillofacial Surgery Associates, PA | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
1600 SW Archer Rd
Rm D26
Gainesville, FL 32610
Phone (352) 273-5380
Organizations & group practices 2
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.
-
- Dentist
- Gainesville, FL
- NPI 1255383550
-
- Oral and Maxillofacial Surgery (Dentist)
- Auburn, ME
- NPI 1982763801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1417950320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 CENTER DRIVE, D7-6A, BOX 100416",
"address_2": "UF COLLEGE OF DENTISTRY ORAL AND MAXILLOFACIAL SURGERY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100416",
"telephone_number": "352-273-6750",
"fax_number": "352-392-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DR # D7-6A",
"address_2": "UFCD ORAL AND MAXILLOFACIAL SURGERY, BOX 100416",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100416",
"telephone_number": "352-273-6750",
"fax_number": "352-392-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "MARTHA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "ME",
"license": "3065",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "FTP589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY OF FLORIDA TEACHING PERMIT",
"identifier": "FTP589",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "MM0862",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.