MEDICARE: DR. ERIC GERARD LAWTON JR. D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN014326	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679889737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC GERARD LAWTON JR. D.D.S.

Provider Business Mailing Address
First Line	:	1188 RALPH DAVID ABERNATHY BLVD SW
Second Line	:	#101
City	:	ATLANTA
State	:	GA
Zip	:	30310-1716
Country	:	US
Telephone Number	:	404-758-0770
Fax Number	:	404-581-5292

Provider Business Practice Location Address
First Line	:	1188 RALPH DAVID ABERNATHY BLVD SW
Second Line	:	#101
City	:	ATLANTA
State	:	GA
Zip	:	30310-1716
Country	:	US
Telephone Number	:	404-758-0770
Fax Number	:	404-581-5292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2010
Last Update Date	:	12/20/2012

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Directions to “ DR. ERIC GERARD LAWTON JR. D.D.S.” Practice Location

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