MEDICARE: JOCELYN LAWRENCE DDS

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	0401416631	VA

General Provider Information

NPI Number	:	1245882752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN LAWRENCE DDS

Provider Business Mailing Address
First Line	:	7349 JACKSON ARCH DR
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111-4722
Country	:	US
Telephone Number	:	803-960-2301
Fax Number	:

Provider Business Practice Location Address
First Line	:	7318 BELL CREEK RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111
Country	:	US
Telephone Number	:	804-442-3630
Fax Number	:

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

Provider Enumeration Date	:	07/15/2019
Last Update Date	:	07/02/2024

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