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NPI Code Detail

MEDICARE: DR. HANNAH LEVIEDDIN DMD

MEDICARE: DR. HANNAH LEVIEDDIN DMD
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
1122300000XDentist27067FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127067OTHERFLLICENSE

General Provider Information

NPI Number : 1366166704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANNAH LEVIEDDIN DMD
Provider Business Mailing Address
First Line : 3900 N HILLS DR APT 404
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-2540
Country : US
Telephone Number : 901-550-1994
Fax Number :
Provider Business Practice Location Address
First Line : 4919 SHERIDAN ST STE 50
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-2823
Country : US
Telephone Number : 954-510-9898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2022
Last Update Date : 02/13/2023

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Directions to “ DR. HANNAH LEVIEDDIN DMD” Practice Location

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