# LAWRENCE ABSATZ DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174161772
- **Authorized official:** DR. LAWRENCE ABSATZ DMD (DENTIST/OWNER)
- **Authorized official phone:** (631) 654-9112

## Contact information

- **Practice address:** 286 SILLS RD STE 1, EAST PATCHOGUE, NY 11772-8810
- **Practice address phone:** (631) 654-9112
- **Practice address fax:** (631) 654-1598
- **Mailing address:** 286 SILLS RD STE 1, EAST PATCHOGUE, NY 11772-8810
- **Mailing address phone:** (631) 654-9112
- **Mailing address fax:** (631) 654-1598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2019
- **Last updated:** 12/13/2019