Laurance Jerrold, D.D.S. Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Woodbury, NY

NPI

1043641772

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

032081 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2013-12-05

Last updated

2021-11-30