Provider Demographics
NPI:1073613550
Name:TRUFANT, LAWRENCE ARTHUR (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ARTHUR
Last Name:TRUFANT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 BELMONT ST
Mailing Address - Street 2:DENTAL 160
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5596
Mailing Address - Country:US
Mailing Address - Phone:508-583-4500
Mailing Address - Fax:774-826-2237
Practice Address - Street 1:940 BELMONT ST
Practice Address - Street 2:DENTAL 160
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5596
Practice Address - Country:US
Practice Address - Phone:508-583-4500
Practice Address - Fax:774-826-2237
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10836122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist