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NPI Code Detail

MEDICARE: DR. ROBERT LEVY D.D.S.

MEDICARE:  DR. ROBERT  LEVY  D.D.S.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)LA. 3169LA

General Provider Information

NPI Number : 1518961481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT LEVY D.D.S.
Provider Business Mailing Address
First Line : 301 4TH ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-8423
Country : US
Telephone Number : 318-445-8606
Fax Number : 318-445-8694
Provider Business Practice Location Address
First Line : 301 4TH ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-8423
Country : US
Telephone Number : 318-445-8606
Fax Number : 318-445-8694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT LEVY D.D.S.” Practice Location

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