Provider Demographics
NPI:1417082348
Name:LAWSON, THOMAS R (DDS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:R
Last Name:LAWSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:RICHARD
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:8535 E HARTFORD DR STE 202
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5444
Mailing Address - Country:US
Mailing Address - Phone:480-515-1000
Mailing Address - Fax:
Practice Address - Street 1:9377 E BELL RD STE 107
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1503
Practice Address - Country:US
Practice Address - Phone:480-419-1400
Practice Address - Fax:480-419-5688
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2391122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist