# DRS. LAWRENCE & ROTTMAN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stateline Oral & Maxillofacial Surgery, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659538155
- **Authorized official:** DR. TIMOTHY M. LAWRENCDE D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (419) 473-2707

## Contact information

- **Practice address:** 4333 MONROE ST, SUITE A, TOLEDO, OH 43606-1981
- **Practice address phone:** (419) 473-2707
- **Practice address fax:** (419) 473-0142
- **Mailing address:** 4333 MONROE ST, SUITE A, TOLEDO, OH 43606-1981
- **Mailing address phone:** (419) 473-2707
- **Mailing address fax:** (419) 473-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30-16301 | OH | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/21/2008