# JOHN P. LAWLOR, DDS, PC

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

## Provider details

- **NPI number:** 1568465086
- **Authorized official:** DR. JOHN PATRICK LAWLOR DDS (PRESIDENT)
- **Authorized official phone:** (812) 385-2990

## Contact information

- **Practice address:** 101 8TH ST, PRINCETON, IN 47670-1109
- **Practice address phone:** (812) 385-2990
- **Mailing address:** PO BOX 1179, PRINCETON, IN 47670-0879
- **Mailing address phone:** (812) 385-2990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 54000883A | IN | Yes |
| 261QD0000X | Dental Clinic/Center | 54000883A | IN | — |

## Other

- **Enumeration date:** 05/30/2005
- **Last updated:** 02/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000591046 | UNITED CONCORDIA INS. | — |
| 01 | — | 02025 | BCBS | — |
| 05 | — | 200902070 | — | IN |