| Lkv Dental Sleep Medicine Llc | |
|
1601 Walnut St Suite 1414 Philadelphia PA 19102-2944 | |
| (215) 241-0700 | |
| (215) 563-1707 |
| Full Name | Lkv Dental Sleep Medicine Llc |
|---|---|
| Speciality | Dentist |
| Location | 1601 Walnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Marc Levin (OWNER) |
| Authorized Official Contact | 2152410700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lkv Dental Sleep Medicine Llc 1601 Walnut St Suite 1414 Philadelphia PA 19102-2944 Ph: (215) 241-0700 | Lkv Dental Sleep Medicine Llc 1601 Walnut St Suite 1414 Philadelphia PA 19102-2944 Ph: (215) 241-0700 |
| NPI Number | 1194077412 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 08/28/2023 |
| Medicare PECOS PAC ID | 2567739998 |
|---|---|
| Medicare Enrollment ID | O20170606001351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194077412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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