1356306567 NPI number — LAWRENCE C CHEN DDS INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356306567 NPI number — LAWRENCE C CHEN DDS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAWRENCE C CHEN DDS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356306567
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2400 NILES CORTLAND RD SE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARREN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44484
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-544-0044
Provider Business Mailing Address Fax Number:
330-544-0655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2400 NILES CORTLAND RD SE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44484
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-544-0044
Provider Business Practice Location Address Fax Number:
330-544-0655
Provider Enumeration Date:
04/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHEN
Authorized Official First Name:
LAWRENCE
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
330-544-0044

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  19251 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)