| Joel M. Levin, D.d.s. And John L. Houghtaling, D.d.s.,p.c. | |
|
897 Delaware Ave Suite 200 Buffalo NY 14209-2007 | |
| (716) 885-0510 | |
| (716) 885-8092 |
| Full Name | Joel M. Levin, D.d.s. And John L. Houghtaling, D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 897 Delaware Ave, Buffalo, New York |
| Authorized Official Name and Position | Joel M Levin (PRESIDENT) |
| Authorized Official Contact | 7168850510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel M. Levin, D.d.s. And John L. Houghtaling, D.d.s.,p.c. 897 Delaware Ave Suite 200 Buffalo NY 14209-2007 Ph: (716) 885-0510 | Joel M. Levin, D.d.s. And John L. Houghtaling, D.d.s.,p.c. 897 Delaware Ave Suite 200 Buffalo NY 14209-2007 Ph: (716) 885-0510 |
| NPI Number | 1598987810 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598987810 | NPI | - | NPPES |
| 00628428 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 029731 (New York) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 026237 (New York) | Primary |
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