Individual
DAN L. LAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 COLLEGE ST, PORTLAND, ME 04103-2617
(207) 221-4747
Mailing address
PO BOX 762, BOOTHBAY, ME 04537-0762
(573) 864-6697
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
014712
MO
1223E0200X
Endodontics
Primary
DEN5031
ME
Other
Enumeration date
04/23/2007
Last updated
06/07/2023
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