Mark T Lavin DDS PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MARK T LAVIN DDS PC

Doing business as

Mark T Lavin DDS Periodontics & Dental Implants

Practice address

3400 E 26TH St
Sioux Falls, SD 57103-4183

Phone

(605) 332-6300

Fax

(605) 332-6305

NPI assigned

Oct 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mark Thomas Lavin, DDSNPI 1336266436

Title

Dentist / Periodontist

Phone

(605) 332-6300

Specialties & licenses 1

Addresses

Other names 1

• Mark T Lavin DDS Periodontics & Dental Implants Doing business as

Locations

Practitioners 1

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

• Mark Thomas Lavin, D.D.S.

  • Periodontics
  • Sioux Falls, SD
  • NPI 1336266436
  NPD Authorized official

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1396342846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034183",
            "telephone_number": "605-332-6300",
            "fax_number": "605-332-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034183",
            "telephone_number": "605-332-6300",
            "fax_number": "605-332-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T LAVIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST / PERIODONTIST",
        "authorized_official_telephone_number": "605-332-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark T Lavin DDS Periodontics & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gavin Paul Marco, MS, LAT, ATC
• Katherine Marco
• Kori Marie, RBT
• Marion School 60-3
• Mark M Bierma DDS Ms, PLLC
• Mark W Fox MD PC
• Daniel Ward Mark, M.D.
• Eastan Marleau, MD
• Todd Marlette, DC
• Bailey Marmon

• Periodontics in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Periodontics in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.