IndividualActive
Theodore Lax, D.D.S.
NPI 1144283391 · Public Health Dentistry · Elmira, NY
Provider details
- NPI number
- 1144283391
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 036444-1 (NY)
Specialties & taxonomies
Dental Providers
Practice location
103 Washington St
Elmira, NY 14901-3220
Phone: (607) 737-2028
Fax: (607) 737-2016
Approximate (ZIP-level) locationGet directions
Mailing address
103 Washington St
Elmira, NY 14901-3220
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.