| Mark T Lavin DDS Periodontics & Dental Implants | |
|
3400 E 26th St Sioux Falls SD 57103-4183 | |
| (605) 332-6300 | |
| (605) 332-6305 |
| Full Name | Mark T Lavin DDS Periodontics & Dental Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3400 E 26th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Mark Thomas Lavin (DENTIST / PERIODONTIST) |
| Authorized Official Contact | 6053326300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Lavin DDS Periodontics & Dental Implants 3400 E 26th St Sioux Falls SD 57103-4183 Ph: (605) 332-6300 | Mark T Lavin DDS Periodontics & Dental Implants 3400 E 26th St Sioux Falls SD 57103-4183 Ph: (605) 332-6300 |
| NPI Number | 1396342846 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396342846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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