# DAN LAWSON DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Potlatch Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669866612
- **Authorized official:** LAWRENCE DANIEL LAWSON D.D.S. (OWNER)
- **Authorized official phone:** (208) 875-0441

## Contact information

- **Practice address:** 225 6TH STREET, POTLATCH, ID 83855
- **Practice address phone:** (208) 875-0441
- **Practice address fax:** (208) 875-0972
- **Mailing address:** PO BOX 601, POTLATCH, ID 83855-0601
- **Mailing address phone:** (208) 875-0441
- **Mailing address fax:** (208) 875-0972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D-4638 | ID | Yes |

## Other

- **Enumeration date:** 03/26/2015
- **Last updated:** 03/26/2015