WENDELL D LAWRENCE DDS PLLC


Address: 25865 W 12 Mile Rd Ste C-109, Southfield, MI 48034-1817
Phone: 2483566464

WENDELL D LAWRENCE DDS PLLC (NPI# 1124645502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124645502
Entity Type Organization
Organization Name WENDELL D LAWRENCE DDS PLLC
Practice Address 25865 W 12 Mile Rd Ste C-109
Southfield
MI 48034-1817
Mailing Address 25865 W 12 Mile Rd # C-109
Southfield
MI 48034-1817
Practice Telephone 2483566464
Mailing Telephone 2483566464
Enumeration Date 2020-07-01
Last Update Date 2020-07-01
Authorized Official Name WENDELL D LAWRENCE (OWNER)
Authorized Official Telephone 2483566464
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Office Location

Street Address 25865 W 12 MILE RD STE C-109
City SOUTHFIELD
State MI
Zip Code 48034-1817

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1699710376 Romarie Medical Supply Inc. Durable Medical Equipment & Medical Supplies 16250 Northland Dr, Suite 115, Southfield, MI 48075-5205 2006-06-18

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Competitor

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City SOUTHFIELD
Zip Code 48034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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