Provider Demographics
NPI:1093268997
Name:FRIEND AND LAWRENCE DENTISTRY, PLLC
Entity Type:Organization
Organization Name:FRIEND AND LAWRENCE DENTISTRY, PLLC
Other - Org Name:RVA DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-282-3838
Mailing Address - Street 1:5204 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1500
Mailing Address - Country:US
Mailing Address - Phone:804-282-3838
Mailing Address - Fax:804-282-3874
Practice Address - Street 1:5204 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1500
Practice Address - Country:US
Practice Address - Phone:804-282-3838
Practice Address - Fax:804-282-3874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental