Michael Kevin Gavin, D.D.S.

Endodontics · La Mesa, CA

Individual Active NPI

NPI number 1457462228

Practice location

5680 Lake Murray Blvd Ste B
La Mesa, CA 91942-1905
Phone
(858) 208-6042

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NPI record

NPI
1457462228
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
December 27, 2019
Certified
December 27, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 37420 CA

About Dr. Gavin

Michael Kevin Gavin, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 5680 Lake Murray Blvd Ste B, La Mesa, CA 91942-1905. The NPI number 1457462228 was assigned on August 31, 2006 and the record was last updated on December 27, 2019.

Dr. Gavin lists a license in the registry: #37420 (CA) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Kevin Gavin, D.D.S.?

The NPI number is 1457462228.

What is the phone number of Dr. Gavin?

The phone number listed for the practice location is (858) 208-6042.

Where is Dr. Gavin located?

5680 Lake Murray Blvd Ste B, La Mesa, CA 91942-1905.

What is the taxonomy code for Dr. Gavin?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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