Lawrence County Dental Sealant Program

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17404 Issued in OH

Legal business name

LAWRENCE COUNTY DENTAL SEALANT PROGRAM

Practice address

111 S 4TH St
Third Floor Courthouse
Ironton, OH 45638-1522

Phone

(740) 532-4223

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Harold Shafer

Title

Superintendent

Phone

(740) 532-4223

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lawrence County Board of Education2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lawrence County Educational Service Center

  • Local Education Agency (LEA)
  • Ironton, OH
  • NPI 1962613976
  NPD tax ID

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598802571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 4TH ST",
            "address_2": "THIRD FLOOR COURTHOUSE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381522",
            "telephone_number": "740-532-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 4TH ST",
            "address_2": "THIRD FLOOR COURTHOUSE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381522",
            "telephone_number": "740-532-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE COUNTY DENTAL SEALANT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "740-532-4223"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2461545",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rena Ruth Langer, SUPERVISING COUNSELO
• Krista Danielle Lavender
• Maggie Stevens Lawentmann, D.O.
• Lawrence County (Lawrence County Health Department)
• Lawrence County (Lawrence County EMS)
• Lawrence County Dental Sealant Program
• Lawrence County Educational Service Center
• Lawrence County Port Authority (Lawrence County Transit)
• Lawrence County Recovery
• Lawrence County Recovery, LLC

• General Practice Dentistry in Ironton, OH
• Providers in Ironton, OH by specialty
• General Practice Dentistry in Ohio

• 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.