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General NPI Number Information
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NPI Number | 1073126322
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Entity Type | Individual
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Provider Name | PAUL DANIEL LEVEILLE DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1395 CENTER DR RM D1-17
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City | GAINESVILLE
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State | FL
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Zip | 32610-3504
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Country | US
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Telephone | 352-273-5440
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Fax | 352-273-5446
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Provider Business Mailing Address
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Address Line | 1537 UTICA ST
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City | DENVER
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State | CO
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Zip | 80204-1237
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Country | US
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Telephone | 810-300-1608
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DRPM2440
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN.00204465
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DEN00204465
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License Number State | CO
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