Dan Lawson DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

D-4638 Issued in ID

Legal business name

DAN LAWSON DDS, PC

Doing business as

Potlatch Family Dental

Practice address

225 6TH Street
Potlatch, ID 83855

Phone

(208) 875-0441

Fax

(208) 875-0972

NPI assigned

Mar 26, 2015

Last updated

Mar 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence Daniel Lawson, D.D.S.

Title

Owner

Phone

(208) 875-0441

Specialties & licenses 1

Addresses

Other names 1

• Potlatch Family Dental Doing business as

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1669866612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601",
            "city": "POTLATCH",
            "state": "ID",
            "postal_code": "838550601",
            "telephone_number": "208-875-0441",
            "fax_number": "208-875-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 6TH STREET",
            "city": "POTLATCH",
            "state": "ID",
            "postal_code": "83855",
            "telephone_number": "208-875-0441",
            "fax_number": "208-875-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN LAWSON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-875-0441",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potlatch Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte S Ainge, PAC
• Amanda Black, MOT, OTR/L
• Nicholas John Browneller
• County of Latah 285 School District
• Michael Clyde Graham, P.A.
• Gritman Medical Center Inc (Potlatch Clinic)
• Michael S. Hess, R.PH.
• Lindsay Ranaye Lisher
• Northwest Clinical Services

• Dentist in Potlatch, ID
• Providers in Potlatch, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.