Lawrence Dental Services LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE014989 Issued in MO

Legal business name

LAWRENCE DENTAL SERVICES LLC

Practice address

915 Southwest Blvd Ste D
Jefferson City, MO 65109-5014

Phone

(573) 636-6220

Fax

(573) 636-2155

NPI assigned

Jun 14, 2007

Last updated

Oct 31, 2007By 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

Dr. Lawrence Stewart Davis, DDS

Title

Owner

Phone

(573) 636-6220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1952505562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SOUTHWEST BLVD STE D",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095014",
            "telephone_number": "573-636-6220",
            "fax_number": "573-636-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SOUTHWEST BLVD STE D",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095014",
            "telephone_number": "573-636-6220",
            "fax_number": "573-636-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-636-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "DE014989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Lauf
• Aaron Joseph Laughlin, DO
• Katelyn Laughlin
• Daniel P Lavery, M.D.
• Carol A Lawler, LPN
• Krystal I Lea, LPN
• Madeline Laura Irene Leal, PHARMD
• Kevin Andrew Lease, MD
• Hannah Sha Lin Lee, OTR/L
• Lorinda Jo Leer, OTR

• Dental Clinic/Center in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.