# STEPHEN M. LAWRENCE ,DMD, P.C.

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

## Provider details

- **NPI number:** 1427598507
- **Authorized official:** DR. STEPHEN MARK LAWRENCE DMD (OWNER/ DENTIST)
- **Authorized official phone:** (570) 288-5588

## Contact information

- **Practice address:** 1500 WYOMING AVE, FORTY FORT, PA 18704-4219
- **Practice address phone:** (570) 288-5588
- **Practice address fax:** (570) 288-4345
- **Mailing address:** 1500 WYOMING AVE, FORTY FORT, PA 18704-4219
- **Mailing address phone:** (570) 288-5588
- **Mailing address fax:** (570) 288-4345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21791 | PA | Yes |

## Other

- **Enumeration date:** 03/08/2017
- **Last updated:** 03/08/2017