Provider Demographics
NPI:1699827196
Name:LENAHAN, JOHN LAWRENCE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LAWRENCE
Last Name:LENAHAN
Suffix:
Gender:M
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:1307 WHITE HORSE RD
Mailing Address - Street 2:STAFFORDSHIRE PROFESSIONAL CTR. SUITE 500
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2176
Mailing Address - Country:US
Mailing Address - Phone:856-627-3400
Mailing Address - Fax:856-627-3628
Practice Address - Street 1:1307 WHITE HORSE RD
Practice Address - Street 2:STAFFORDSHIRE PROFESSIONAL CTR. SUITE 500
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2176
Practice Address - Country:US
Practice Address - Phone:856-627-3400
Practice Address - Fax:856-627-3628
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ22DI013083001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice