Provider Demographics
NPI:1851919989
Name:LAVOIE & ASSOCIATES
Entity Type:Organization
Organization Name:LAVOIE & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVOIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:774-991-1418
Mailing Address - Street 1:31 KING CHARLES DR STE D
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-1448
Mailing Address - Country:US
Mailing Address - Phone:508-233-3341
Mailing Address - Fax:508-286-8600
Practice Address - Street 1:31 KING CHARLES DR STE D
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-1448
Practice Address - Country:US
Practice Address - Phone:508-233-3341
Practice Address - Fax:508-286-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty