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1427571454

NPI Code Detail

MEDICARE: DR. LEVI PEARCE BRINKERHOFF DDS

MEDICARE: DR. LEVI PEARCE BRINKERHOFF DDS

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
1	122300000X	Dentist	1481	WY

General Provider Information

NPI Number	:	1427571454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEVI PEARCE BRINKERHOFF DDS

Provider Business Mailing Address
First Line	:	1898 FORT RD BLDG 9
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-8320
Country	:	US
Telephone Number	:	307-675-3894
Fax Number	:

Provider Business Practice Location Address
First Line	:	1898 FORT RD BLDG 9
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-8320
Country	:	US
Telephone Number	:	307-675-3894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2017
Last Update Date	:	03/17/2026

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Directions to “ DR. LEVI PEARCE BRINKERHOFF DDS” Practice Location

Language	Start Address	Practice Location

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