Provider Demographics
NPI:1568586667
Name:LAWTON, BENJAMIN FRANKLIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:FRANKLIN
Last Name:LAWTON
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 1:5 CARVER ST.
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:VT
Mailing Address - Zip Code:05733
Mailing Address - Country:US
Mailing Address - Phone:802-247-3314
Mailing Address - Fax:802-247-3425
Practice Address - Street 1:5 CARVER ST.
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:VT
Practice Address - Zip Code:05733
Practice Address - Country:US
Practice Address - Phone:802-247-3314
Practice Address - Fax:802-247-3425
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT5361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice