Richard M. Levine, Dds, Pa | |
1311 W Busch Blvd Tampa FL 33612-7709 | |
(813) 935-3585 | |
(813) 930-9211 |
Full Name | Richard M. Levine, Dds, Pa |
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Speciality | Dentist - Periodontics |
Location | 1311 W Busch Blvd, Tampa, Florida |
Authorized Official Name and Position | Richard M. Levine (PRESIDENT) |
Authorized Official Contact | 8139353585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard M. Levine, Dds, Pa 1311 W Busch Blvd Tampa FL 33612-7709 Ph: (813) 935-3585 | Richard M. Levine, Dds, Pa 1311 W Busch Blvd Tampa FL 33612-7709 Ph: (813) 935-3585 |
NPI Number | 1760507008 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760507008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 5871 (Florida) | Primary |
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