Dr Lawrence John Child, DDS, PC is a
Dentist - General Practice based in Gooding, Idaho. Dr Lawrence John Child is licensed to practice in Idaho (license number D1473) and his current practice location is
126 5th Ave W, Gooding, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 934-4610.
NPI number for Dr Lawrence John Child is 1811099765 and his current mailing address is 126 5th Ave W, Gooding, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811099765.
Healthcare Provider's Profile
| Full Name | Dr Lawrence John Child |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 126 5th Ave W, Gooding, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811099765
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Lawrence John Child such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811099765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D1473 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lawrence John Child is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lawrence John Child, DDS, PC
126 5th Ave W,
Gooding, ID 83330-1202
Ph: (208) 934-4610 | Dr Lawrence John Child, DDS, PC
126 5th Ave W,
Gooding, ID 83330-1202
Ph: (208) 934-4610 |
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