# LAWRENCE G CARUTH DMD ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cherry Ridge Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790842375
- **Authorized official:** DR. LAWRENCE GLEN CARUTH DMD (PRESIDENT OWNER)
- **Authorized official phone:** (570) 253-4245

## Contact information

- **Practice address:** 3025 LAKE ARIEL HWY, HONESDALE, PA 18431
- **Practice address phone:** (570) 253-4245
- **Practice address fax:** (570) 253-8957
- **Mailing address:** 3025 LAKE ARIEL HWY, HONESDALE, PA 18431
- **Mailing address phone:** (570) 253-4245
- **Mailing address fax:** (570) 253-8957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 015861 | PA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020