Organization
DECKER & LAVINE, DDS, PA
Active
Organization
DECKER & LAVINE, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LAVINE D.D.S., M.S. (OWNER)
(301) 776-3066
Entity
Organization
Contact information
Practice address
14333 LAUREL BOWIE RD, SUITE 201, LAUREL, MD 20708-1126
(301) 776-3066
(301) 776-3115
Mailing address
14333 LAUREL BOWIE RD, SUITE 201, LAUREL, MD 20708-1126
(301) 776-3066
(301) 776-3115
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11153
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
950724800
—
MD
Enumeration date
04/05/2011
Last updated
04/05/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up