Provider Demographics
NPI:1932261047
Name:LAVOIE, SHAILINI (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHAILINI
Middle Name:
Last Name:LAVOIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MONTANA CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59634-9767
Mailing Address - Country:US
Mailing Address - Phone:406-443-5130
Mailing Address - Fax:
Practice Address - Street 1:2 MARKET ST
Practice Address - Street 2:
Practice Address - City:MONTANA CITY
Practice Address - State:MT
Practice Address - Zip Code:59634-9767
Practice Address - Country:US
Practice Address - Phone:406-443-5130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT21351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice