DR. ROGER BRENT LAWRENCE DMD - NPI 1821053521

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Dr. Roger Brent Lawrence Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER BRENT LAWRENCE DMD (NPI 1821053521) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D6374) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1821053521

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROGER BRENT LAWRENCECredential: DMD

Location Address5415 SW WESTGATE DR, SUITE 206Portland, OR 97221-2409

Mailing Address5415 Sw Westgate Dr, Suite 206Portland, OR 97221-2409 · (503) 292-1173 · Fax (503) 291-0353

Phone(503) 292-1173

Fax(503) 291-0353

Sole ProprietorYes

Enumeration DateApril 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821053521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D6374

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5415 SW WESTGATE DR, Portland, OR 97221

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