Provider Demographics
NPI:1801946736
Name:LAWTON, RODGER ALTON (DMD)
Entity type:Individual
Prefix:DR
First Name:RODGER
Middle Name:ALTON
Last Name:LAWTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 E BRACCIANO AVE
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-7525
Mailing Address - Country:US
Mailing Address - Phone:360-970-1118
Mailing Address - Fax:
Practice Address - Street 1:5855 E STILL CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3631
Practice Address - Country:US
Practice Address - Phone:480-248-8100
Practice Address - Fax:480-248-8199
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0113631223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6940OtherSTATE LICENSE NUMBER