Lavine, William Sidney

Lavine, William Sidney is an individual health care provider with primary practice located at 928 Farmington Ave , West Hartford CT 06107-2227. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Lavine, William Sidney can be contacted via phone (860) 233-6266.

Contact Information

Primary practice address
928 Farmington Ave West Hartford CT 06107-2227
Phone: (860) 233-6266
Fax: (860) 233-6267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 4668 Connecticut

Profile Details

NPI number 1497792071
LBN Legal business name Lavine, William Sidney
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1497792071 NPPES
Connecticut Other 4668 STATE DENTAL LICENSE #

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