Decker & Lavine, DDS, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11153 Issued in MD

Legal business name

DECKER & LAVINE, DDS, PA

Practice address

14333 Laurel Bowie Rd
Suite 201
Laurel, MD 20708-1126

Phone

(301) 776-3066

Fax

(301) 776-3115

NPI assigned

Apr 5, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Lavine, D.D.S., M.S.

Title

Owner

Phone

(301) 776-3066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jocelyn Beville Defoe, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laurel, MD
  • NPI 1215275425
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1316236813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD",
            "address_2": "SUITE 201",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081126",
            "telephone_number": "301-776-3066",
            "fax_number": "301-776-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD",
            "address_2": "SUITE 201",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081126",
            "telephone_number": "301-776-3066",
            "fax_number": "301-776-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECKER & LAVINE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "LAVINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-776-3066",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "11153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950724800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Day, LCSW-C
• Sherrie Ann Day, PT
• Rashida Daye, OT
• Heber J De Oliveira, CSA
• De Shanique Enterprise LLC
• Dedicated Care Services LLC
• Dedicated Transportation Services LLC
• Deep Kukreti and Associates, LLC
• David Imamu Defoe
• Denise Lynnette Defoe, LMSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Laurel, MD
• Providers in Laurel, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.