MEDICARE: BARI LEVINE DMD PLLC

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	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1801468491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARI LEVINE DMD PLLC

Provider Business Mailing Address
First Line	:	540 LAFAYETTE RD
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1004
Country	:	US
Telephone Number	:	215-913-4428
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 MONTGOMERY AVE STE 2
Second Line	:
City	:	PENN VALLEY
State	:	PA
Zip	:	19072-2036
Country	:	US
Telephone Number	:	484-430-1338
Fax Number	:

Authorized Official
Title or Position	:	PEDIATRIC DENTIST/CEO
Name	:	DR. BARI RACHEL LEVINE
Credential	:	DMD MPH
Telephone Number	:	610-538-6080

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	11/21/2021

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