Provider Demographics
NPI:1457497703
Name:ALBRIGHT, LAURENCE (DMD)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:
Last Name:ALBRIGHT
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 1:537 WALLIS RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2225
Mailing Address - Country:US
Mailing Address - Phone:603-436-0555
Mailing Address - Fax:
Practice Address - Street 1:303 ISLINGTON ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4219
Practice Address - Country:US
Practice Address - Phone:603-431-7605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice