Organization
SAINT LUKE'S DENTAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F LAVIGNA DDS (PRESIDENT)
(216) 368-7238
Entity
Organization
Contact information
Practice address
11201 SHAKER BLVD, SUITE 136, CLEVELAND, OH 44104-3869
(216) 368-7238
(216) 274-9954
Mailing address
11201 SHAKER BLVD, SUITE 136, CLEVELAND, OH 44104-3869
(216) 368-7238
(216) 274-9954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467443473
NPI
OH
01
—
1689665408
NPI
OH
01
—
1871584870
NPI
OH
Enumeration date
01/26/2007
Last updated
08/22/2020
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