Whalio Doctors

NPI 1083289540

Jenna Lavin, DMD

Practitioner General Practice Dentistry Port Charlotte, FL

Practice location

Address
4300 Kings Hwy STE 500, Port Charlotte, FL 33980-2953
Phone
(239) 344-2337
Mailing address
PO Box 919771, Orlando, FL 32891-9771

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence DN25841 (FL)

Registry record

NPI
1083289540
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 May 2021
Record last updated
18 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.