Individual
DR. LAWSON WAITE GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,
Contact information
Practice address
483 BOSTON NECK RD, NARRAGANSETT, RI 02882-3104
(401) 789-5511
(401) 789-8865
Mailing address
483 BOSTON NECK RD, NARRAGANSETT, RI 02882-3104
(401) 789-5511
(401) 789-8865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2051
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056
BCMA
MA
01
—
200-2051
DDRI
RI
01
—
614485
UNITED CONCORDIA
RI
01
—
8963
BCBSRI
RI
01
—
LG28238
EDS
RI
Enumeration date
12/16/2006
Last updated
07/08/2007
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