DR. MARK THOMAS LAVIN (NPI# 1336266436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336266436 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS LAVIN |
| Credential | D.D.S. |
| Practice Address |
6104 S Lyncrest Ave Sioux Falls SD 57108-2560 |
| Mailing Address |
4703 W Cottage Trl Sioux Falls SD 57106-2185 |
| Practice Telephone | 6053326300 |
| Mailing Telephone | 6055210454 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
6427 | NE | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
M981 | SD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821065160 | Mark Lavin | Radiology | 19609 E 9th St S, Independence, MO 64056-3088 | 2006-03-07 |
| Street Address |
6104 S LYNCREST AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063575629 | Devren Clay Anderson | Dentist | 6104 S Lyncrest Ave, Sioux Falls, SD 57108-2560 | 2006-12-18 |
| 1629685243 | Dental Wellness, Devren Anderson, Dds, PC | Dentist | 6104 S Lyncrest Ave, Sioux Falls, SD 57108-2560 | 2020-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184792236 | Thomas L. Kassube | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2006-11-30 |
| 1396342846 | Mark T Lavin Dds PC | Dentist | 3400 E 26th St, Sioux Falls, SD 57103-4183 | 2020-10-07 |
| 1265949150 | Johnson Periodontics, Prof. LLC | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2018-01-02 |
| 1275685299 | Kassube & Lankford Midwest Periodontics, Prof. LLC | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079257 | Charles F Scanlon II Dds Msd PC | Dentist | 1761 Tablerock Rd, Rapid City, SD 57701-5595 | 2020-10-06 |
| 1396252698 | Dunes Peiodontics and Implant Dentistry | Dentist | 150 Tower Rd Ste 110, Dakota Dunes, SD 57049-8000 | 2018-01-08 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1821373325 | Joshua Wade Nehring | Dentist | 2800 Jackson Blvd Suite #6, Rapid City, SD 57702-1504 | 2011-10-15 |
| 1114225661 | Mark Allen Terry | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2011-03-08 |
| 1750423166 | Edward Boyd Whillock | Dentist | 804 West Blvd, Rapid City, SD 57701-3577 | 2007-02-13 |
| 1962983205 | Dakota Regional Periodontics, LLC | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2018-08-24 |
| 1710107008 | Harold A. Doerr, D.d.s, PC | Dentist | 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702-3477 | 2007-04-27 |
| 1942334727 | Eb Whillock Dds, Ltd. | Dentist | 804 West Blvd, Rapid City, SD 57701-3577 | 2007-03-15 |
| 1063421501 | Harold A Doerr | Dentist | 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702-1504 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.