Provider Demographics
NPI:1871631929
Name:LAWHON, GARY STEVE (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:STEVE
Last Name:LAWHON
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 1:707 24TH AVE SW STE 102
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-3957
Mailing Address - Country:US
Mailing Address - Phone:405-321-2300
Mailing Address - Fax:405-321-3363
Practice Address - Street 1:707 24TH AVE SW STE 102
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-3957
Practice Address - Country:US
Practice Address - Phone:405-321-2300
Practice Address - Fax:405-321-3363
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK41671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice