Provider Demographics
NPI:1093708059
Name:OSWICK, LAWRENCE H (DDS)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:H
Last Name:OSWICK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17747 CHILLICOTHE RD
Mailing Address - Street 2:#205
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-4739
Mailing Address - Country:US
Mailing Address - Phone:440-543-9000
Mailing Address - Fax:440-543-1562
Practice Address - Street 1:17747 CHILLICOTHE RD
Practice Address - Street 2:#205
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4739
Practice Address - Country:US
Practice Address - Phone:440-543-9000
Practice Address - Fax:440-543-1562
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH143151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice