Provider Demographics
NPI:1275653875
Name:LAUSON, SAMUEL KENT (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:KENT
Last Name:LAUSON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16756 E SMOKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2470
Mailing Address - Country:US
Mailing Address - Phone:303-690-0400
Mailing Address - Fax:303-680-1157
Practice Address - Street 1:16756 E SMOKY HILL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2470
Practice Address - Country:US
Practice Address - Phone:303-690-0400
Practice Address - Fax:303-680-1157
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8415659541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics