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Dr. William Sidney Lavine, DMD
Periodontist in West Hartford, Connecticut
NPI 1497792071

William Sidney Lavine is a Periodontist based in West Hartford, CT and is specialized in Periodontics. William Sidney Lavine practices in West Hartford, CT and has the professional credentials of DMD. The NPI Number for William Sidney Lavine is 1497792071 and holds a License No. 4668 (Connecticut).

The current practice location address for William Sidney Lavine is 928 Farmington Ave, West Hartford, CT and can be reached out via phone at 860-233-6266 and via fax at 860-233-6267.

Location: 928 Farmington Ave, West Hartford, CT, 06107-2227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497792071
Provider Name
William Sidney Lavine
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
928 Farmington Ave, West Hartford, CT, 06107-2227
Phone Number
860-233-6266
Fax Number
860-233-6267
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4668 01 CT STATE DENTAL LICENSE #
institution
Provider Business Practice Location Address Details
Address
928 Farmington Ave
City
West Hartford
State
Connecticut
Zip
06107-2227
Phone Number
860-233-6266
Fax Number
860-233-6267
person
Provider Business Mailing Address Details
Address
928 Farmington Ave
City
West Hartford
State
Connecticut
Zip
06107-2227
Phone Number
860-233-6266
Fax Number
860-233-6267
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
4668 (Connecticut)
Definition
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.
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