Lavoie, Susanne Yvonne

Lavoie, Susanne Yvonne is an individual health care provider with primary practice located at 1481 Atwood Ave Suite #3, Johnston RI 02919-4800. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lavoie, Susanne Yvonne can be contacted via phone (401) 228-7550.

Contact Information

Primary practice address
1481 Atwood Ave Suite #3 Johnston RI 02919-4800
Fax: (401) 228-7560
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN02060 Rhode Island

Profile Details

NPI number 1982716064
LBN Legal business name Lavoie, Susanne Yvonne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982716064 NPPES
Rhode Island MEDICAID SL16727

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