Provider Demographics
NPI:1578712782
Name:ROBERT C. LORENZ,DDS
Entity Type:Organization
Organization Name:ROBERT C. LORENZ,DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:LORENZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-672-8908
Mailing Address - Street 1:199 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-3013
Mailing Address - Country:US
Mailing Address - Phone:508-672-8908
Mailing Address - Fax:508-673-9471
Practice Address - Street 1:199 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-3013
Practice Address - Country:US
Practice Address - Phone:508-672-8908
Practice Address - Fax:508-673-9471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty