Healthcare Provider Details

I. General information

NPI: 1851001036
Provider Name (Legal Business Name): LEVINE AND SEDLER DENTAL PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3808 W RIVERSIDE DR STE 305
BURBANK CA
91505-4339
US

IV. Provider business mailing address

3808 W RIVERSIDE DR STE 305
BURBANK CA
91505-4339
US

V. Phone/Fax

Practice location:
  • Phone: 818-558-7454
  • Fax:
Mailing address:
  • Phone: 818-558-7454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DIANA SEDLER
Title or Position: PARTNER
Credential: DDS
Phone: 818-558-7454