Provider Demographics
NPI:1265493076
Name:METZGER, LAWRENCE C (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:C
Last Name:METZGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:11545A NUCKOLS ROAD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5666
Mailing Address - Country:US
Mailing Address - Phone:804-673-8061
Mailing Address - Fax:804-673-5644
Practice Address - Street 1:5510 WHITESIDE ROAD
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-2345
Practice Address - Country:US
Practice Address - Phone:804-737-0992
Practice Address - Fax:804-737-6275
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2018-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA04010075401223S0112X
VA0438000097204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery