Provider Demographics
NPI:1598854606
Name:MARKS, LAWRENCE B (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:B
Last Name:MARKS
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Gender:M
Credentials:DDS, PC
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Mailing Address - Street 1:1 OXFORD ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413
Mailing Address - Country:US
Mailing Address - Phone:315-735-9571
Mailing Address - Fax:315-732-4371
Practice Address - Street 1:1 OXFORD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2651
Practice Address - Country:US
Practice Address - Phone:315-735-9571
Practice Address - Fax:315-732-4371
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2014-10-30
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Provider Licenses
StateLicense IDTaxonomies
NY040284-11223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery