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General NPI Number Information
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NPI Number | 1437327368
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Entity Type | Organization
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Legal Business Name | STANLEY M. LEVENSON, DMD,P.C
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 9 LINDEN ST
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City | WORCESTER
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State | MA
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Zip | 01609-2510
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Country | US
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Telephone | 508-753-3105
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Fax |
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Provider Business Mailing Address
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Address Line | 9 LINDEN ST STE 1
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City | WORCESTER
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State | MA
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Zip | 01609-3243
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Country | US
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Telephone | 508-753-3105
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STANLEY MARK LEVENSON
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Credential | DMD, PC
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Telephone | 508-753-3105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 16437
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License Number State | MA
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