National Provider Identifier
Theodore Lax, D.D.S.
Theodore Lax, D.D.S. is listed in the NPPES registry with a primary specialty of Public Health Dentistry in Elmira, NY and a listed phone number of (607) 737-2028.
Profile Overview
- NPI
- 1144283391
- Provider Type
- Individual
- Primary Specialty
- Public Health Dentistry
- Enumeration Date
- April 10, 2006
- Last Updated
- July 09, 2007
Practice Location
- 103 Washington St
- Elmira, NY 14901-3220
Phone: (607) 737-2028
Specialties
- Public Health Dentistry (1223D0001X)
Full Record
- NPI
- 1144283391
- Entity Type
- Individual
- Last Name
- Lax
- First Name
- Theodore
- Credential
- D.D.S.
- Mailing Street Address
- 103 Washington St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3220
- Mailing Country
- US
- Mailing Phone
- (607) 737-2028
- Mailing Fax
- (607) 737-2016
- Practice Street Address
- 103 Washington St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3220
- Practice Country
- US
- Practice Phone
- (607) 737-2028
- Practice Fax
- (607) 737-2016
- Enumeration Date
- April 10, 2006
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Public Health Dentistry (1223D0001X)
- Other Identifiers
- 036444-1 (NY)