COURTNEY LAVIGNE DMD LLC (NPI# 1326453853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326453853 |
| Entity Type | Organization |
| Organization Name | COURTNEY LAVIGNE DMD LLC |
| Other Organization Name | COURTNEY LAVIGNE DENTISTRY |
| Practice Address |
109 Andrew Ave Suite 202 Wayland MA 01778-3156 |
| Practice Telephone | 5083582122 |
| Practice Fax Number | 5083589522 |
| Mailing Telephone | 5083582122 |
| Mailing Fax Number | 5083589522 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | DR. COURTNEY L LAVIGNE (DENTIST, OWNER) |
| Authorized Official Telephone | 5083582122 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1856353 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Courtney Lavigne Dentistry | Doing Business As Name - Organization |
| Street Address |
109 ANDREW AVE SUITE 202 |
| City | WAYLAND |
| State | MA |
| Zip Code | 01778-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134102064 | Tania M Bandak | Family Medicine | 109 Andrew Ave, Wayland, MA 01778-3156 | 2005-11-23 |
| 1710422373 | Wayland Personal Physicians Pllc | Internal Medicine | 109 Andrew Ave, Suite 203, Wayland, MA 01778-3157 | 2017-01-05 |
| 1073912515 | Kate Fitzgerald | Physical Therapist | 109 Andrew Ave, Wayland, MA 01778-4744 | 2014-08-21 |
| 1750720918 | Jason A Boch Dmd LLC | Clinic/Center | 109 Andrew Ave, Ste 201, Wayland, MA 01778 | 2013-06-21 |
| 1578806626 | Andrew Jordan Fiola | Chiropractor | 109 Andrew Ave, Suite 102, Wayland, MA 01778-3156 | 2013-03-27 |
| 1023057015 | Jonathan G Smith | Internal Medicine | 109 Andrew Ave, Suite 203, Wayland, MA 01778-3156 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545171 | Joan Patricia Cho-sik | Social Worker | 47 Grove Street, Wayland, MA 01778 | 2020-10-14 |
| 1023509973 | Kara Anne Lapierre | Registered Nurse | 85 West Plain Street, Wayland, MA 01778 | 2018-05-27 |
| 1538688148 | Konstantin V Bazarov | Acupuncturist | 244 Concord Rd, Wayland, MA 01778 | 2017-09-14 |
| 1073995700 | Nuch of Massachusetts, LLC | Clinic/Center | 84 Andrew Avenue, Wayland, MA 01778 | 2015-06-18 |
| 1225458995 | Susan Massad | Dietitian, Registered | 524 Boston Post Rd., The Longfellow Club, Wayland, MA 01778 | 2014-04-22 |
| 1790910438 | Yelena Yalli | Pharmacist | 7 Lakespur, Wayland, MA 01778 | 2009-05-26 |
| 1033398862 | Helena M Leet Pellegrini | Psychologist | 61 Sherman Bridge Rd, Wayland, MA 01778 | 2007-10-29 |
| 1962584292 | Miriam R Rosenberg | Psychiatry & Neurology | 206 Glezen Lane, Wayland, MA 01778 | 2006-10-19 |
| 1639264138 | Stephen Philip Bushee | Specialist/Technologist | Boston College, Conte Forum-room 124, Chestnut Hill, MA 01778 | 2006-10-03 |
| 1750474383 | Bruce Warner Shackleton | Psychologist | 35 Main Street #3, Wayland, MA 01778 | 2006-10-02 |
| Find all providers in zip 01778 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659875862 | Alexandra Holloway Arnold | Dentist | 109 Andrew Ave Ste 202, Wayland, MA 01778-3157 | 2018-03-21 |
| 1780113266 | Castellucci, Wysocki and Osorio Dental Group, LLC | Dentist | 311 Boston Post Rd Unit 1, Wayland, MA 01778-1802 | 2017-06-08 |
| 1578720405 | Kenneth L. Zachmann | Dentist | 52 Cochituate Rd, Wayland, MA 01778-2607 | 2008-05-19 |
| 1720204126 | Christine Laura Ackermann | Dentist | 12715 W M-179 Hwy, Wayland, MI 49348 | 2007-04-17 |
| 1245365436 | Frank Arnold Kokmeyer | Dentist | 12715 West M-179 Highway, Wayland, MI 49348-9318 | 2007-02-21 |
| 1497843395 | Elizabeth Stouffer | Dentist | 404 W Superior St, Wayland, MI 49348-1223 | 2006-10-10 |
| 1518063353 | Wayland Dental Care, PC | Dentist | 2288 Rt 63, Wayland, NY 14572 | 2006-09-16 |
| 1700991940 | Michael L Deweerd | Dentist | 879 E Superior St, Wayland, MI 49348-9178 | 2006-08-20 |
| 1265923650 | Robert Schutt | Dentist | 899 Reno Dr, Wayland, MI 49348-1732 | 2018-05-22 |
| 1265756423 | Wayland Family Dental Center, LLC | Dentist | 16 Boston Post Rd, Wayland, MA 01778-2434 | 2010-03-17 |
| Find all providers in WAYLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.