Lavine, Robert

Lavine, Robert is an individual health care provider with primary practice located at 2791 E 14 Mile Rd Suite 102, Sterling Heights MI 48310-5963. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lavine, Robert can be contacted via phone (586) 979-0111.

Contact Information

Primary practice address
2791 E 14 Mile Rd Suite 102 Sterling Heights MI 48310-5963
Phone: (586) 979-0111
Fax: (586) 979-2412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Michigan

Profile Details

NPI number 1225189970
LBN Legal business name Lavine, Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225189970 NPPES
Michigan Other D0859405 BLUE CROSS OF MICHIGAN

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