Provider Demographics
NPI:1679582449
Name:LAWTON, MARK ESTES (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ESTES
Last Name:LAWTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7038 ANTOINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-6613
Mailing Address - Country:US
Mailing Address - Phone:281-447-2186
Mailing Address - Fax:281-447-0892
Practice Address - Street 1:7038 ANTOINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-6613
Practice Address - Country:US
Practice Address - Phone:281-447-2186
Practice Address - Fax:281-447-0892
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice