Lawrence E. Way, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

31453 Issued in NY

Practice address

104 Paddock St
Ste. 103
Watertown, NY 13601-3948

Phone

(315) 782-3101

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northern Oral & Maxillofacial Surgery Services. P.C.

  • Oral and Maxillofacial Pathology Dentistry
  • Watertown, NY
  • NPI 1811059892
  NPD (past) Authorized official
• St. Lawrence Oral and Maxillofacial Surgery Associates PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Potsdam, NY
  • NPI 1851419287
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932199635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PADDOCK ST",
            "address_2": "STE. 103",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013948",
            "telephone_number": "315-782-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PADDOCK ST",
            "address_2": "STE. 103",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013948",
            "telephone_number": "315-782-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "LAWRENCE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "31453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01137613",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Watertown Urban Mission
• Watertown Urgent Care PLLC
• Alta Louise Watkins, PA
• Patricia Marcelle Watts, SLP
• Jeffrey D Way, MD
• David L Weal, LCSW
• Jeriica Kelly Weatherup
• Danyelle May Weaver, LPN
• Kriston Webb, MASTER
• Daniel J Weber, MD

• Oral and Maxillofacial Surgery (Dentist) in Watertown, NY
• Providers in Watertown, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.