Individual
MR. JERRY A LAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
803 EAST CENTER STREET, LEXINGTON, NC 27292
(336) 249-7708
(336) 249-6490
Mailing address
PO BOX 1653, LEXINGTON, NC 27293
(336) 249-7708
(336) 249-6490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC4292
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403559
UNITED CONCORDIA
—
05
—
8995153
—
NC
01
—
95153
BLUE CROSS
NC
Enumeration date
08/02/2006
Last updated
07/08/2007
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