Provider Demographics
NPI:1003181025
Name:LAWTON K CHU DMD PC
Entity Type:Organization
Organization Name:LAWTON K CHU DMD PC
Other - Org Name:ALL BRIGHT DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWTON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:817-329-6000
Mailing Address - Street 1:2100 W NORTHWEST HWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7808
Mailing Address - Country:US
Mailing Address - Phone:817-329-6000
Mailing Address - Fax:817-251-1833
Practice Address - Street 1:2100 W NORTHWEST HWY
Practice Address - Street 2:SUITE 204
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7808
Practice Address - Country:US
Practice Address - Phone:817-329-6000
Practice Address - Fax:817-251-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty