Dan Lawson DDS, PC
Organization Active NPI Dentist · Potlatch, ID
NPI 1669866612 · NPPES record last updated Mar 26, 2015
Key facts
- NPI
- 1669866612
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- D-4638 (ID)
- Legal business name
- DAN LAWSON DDS, PC
- Practice address
- 225 6TH Street
Potlatch, ID 83855 - Phone
- (208) 875-0441
- Fax
- (208) 875-0972
- NPI assigned
- Mar 26, 2015
- Organization subpart
- No
Authorized official
- Name
- Lawrence Daniel Lawson, D.D.S.
- Title
- Owner
- Phone
- (208) 875-0441
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D-4638 | ID | Yes |
Addresses
Primary practice location
225 6TH Street
Potlatch, ID 83855
Mailing address
PO Box 601
Potlatch, ID 83855-0601
Phone (208) 875-0441
Other names
- Potlatch Family Dental
Other providers in Potlatch, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2015. 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.