Whalio Doctors

NPI 1104855634

Lawrence M Levin, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Philadelphia, PA

Practice location

Address
3400 Spruce St 5 White Building, Philadelphia, PA 19104-4206
Phone
(215) 662-3580
Fax
(215) 662-7445

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence MD421768 (PA)
Dentist
Dental Providers Taxonomy 122300000X Licence DS025560L (PA)

Registry record

NPI
1104855634
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jun 2006
Record last updated
3 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.