Individual
DR. DENARD THOMAS LAWRENCE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3302 BRIDGES ST, SUITE H, MOREHEAD CITY, NC 28557
(252) 247-5683
(252) 247-1104
Mailing address
3302 BRIDGES ST, SUITE H, MOREHEAD CITY, NC 28557
(252) 247-5683
(252) 247-1104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1813869
UNITED CONCORDIA
—
01
—
902GZ
BXBS
—
Enumeration date
10/02/2006
Last updated
07/08/2007
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