Provider Demographics
NPI:1780971267
Name:CARDWELL, LAURIN JOYCE (DDS)
Entity type:Individual
Prefix:DR
First Name:LAURIN
Middle Name:JOYCE
Last Name:CARDWELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DEMETER LN
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-7326
Mailing Address - Country:US
Mailing Address - Phone:828-691-5531
Mailing Address - Fax:
Practice Address - Street 1:876 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5803
Practice Address - Country:US
Practice Address - Phone:828-586-6868
Practice Address - Fax:828-586-6868
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist