Provider Demographics
NPI:1447277892
Name:METSGER, LAWRENCE KEVIN (DMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:KEVIN
Last Name:METSGER
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 1:114 LA DOLCE VITA RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-8542
Mailing Address - Country:US
Mailing Address - Phone:724-834-8396
Mailing Address - Fax:724-834-6086
Practice Address - Street 1:520 PELLIS RD
Practice Address - Street 2:SUITE 4000
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4777
Practice Address - Country:US
Practice Address - Phone:724-837-5009
Practice Address - Fax:734-834-0106
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO25334-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice