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NPI Code Detail

MEDICARE: RON LEVENBAUM, DMD, P.C.

MEDICARE: RON LEVENBAUM, DMD, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry16439MA

General Provider Information

NPI Number : 1902003072
Entity Type Code : Organization
Provider Name (Legal Business Name) : RON LEVENBAUM, DMD, P.C.
Provider Business Mailing Address
First Line : 11 BALDWIN RD
Second Line :
City : WESTFORD
State : MA
Zip : 01886-2063
Country : US
Telephone Number : 978-692-5214
Fax Number :
Provider Business Practice Location Address
First Line : 270 LITTLETON RD
Second Line : SUITE #9
City : WESTFORD
State : MA
Zip : 01886-3526
Country : US
Telephone Number : 928-692-6326
Fax Number :
Authorized Official
Title or Position : PRESIDENT, DENTIST
Name : DR. RON LEVENBAUM
Credential :
Telephone Number : 978-692-6326
Provider Enumeration Date : 06/30/2007
Last Update Date : 08/14/2007

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Directions to “RON LEVENBAUM, DMD, P.C. ” Practice Location

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