Paul B. Lavine, D.D.S. P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15500 Issued in MD

Legal business name

PAUL B. LAVINE, D.D.S. P.A.

Practice address

201 North St
Elkton, MD 21921-5512

Phone

(410) 398-0250

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Paul B Lavine, D.D.S.

Title

General Dentist, Owner

Phone

(410) 398-0250

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Geoffery D Shultz, D.D.S

  • General Practice Dentistry
  • Elkton, MD
  • NPI 1255747259
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1538574157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NORTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215512",
            "telephone_number": "410-398-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NORTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215512",
            "telephone_number": "410-398-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B. LAVINE, D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "LAVINE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "GENERAL DENTIST, OWNER",
        "authorized_official_telephone_number": "410-398-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hetalben B Patel, RPH
• Jayantilal K Patel, MD
• Mahendra C Patel, MD
• Margi Patel
• Priyaben Sagar Patel, DDS
• Pdom Elkton
• Tasha Tenika Peniche
• Amy Jo Pennaz, DPT
• Kristen Peoples, LCSW
• Perkis Family Medicine, LLC

• General Practice Dentistry in Elkton, MD
• Providers in Elkton, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.