Provider Demographics
NPI:1609985720
Name:LAWSON, KENT BAKER (DDS)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:BAKER
Last Name:LAWSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:KENT
Other - Middle Name:B
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PA
Mailing Address - Street 1:9660 HILLCROFT
Mailing Address - Street 2:SUITE 555
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096
Mailing Address - Country:US
Mailing Address - Phone:713-721-1222
Mailing Address - Fax:713-721-1235
Practice Address - Street 1:9660 HILLCROFT
Practice Address - Street 2:SUITE 555
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096
Practice Address - Country:US
Practice Address - Phone:713-721-1222
Practice Address - Fax:713-721-1235
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12743122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist