Jack Levi Dds Pa is a Endodontics in Teaneck, New Jersey. Jack Levi Dds Pa practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jack Levi Dds Pa is 1720175912. The last update date is 2020-08-22.
Jack Levi Dds Pa's current location address is 185 Cedar Ln, Teaneck, New Jersey. You can contact this provider via phone number 2013855400. The mailing address for Jack Levi Dds Pa is 185 Cedar Ln, Teaneck, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack Levi Dds Pa |
|---|---|
| Address | 185 Cedar Ln, Teaneck, New Jersey |
| Phone Number | 2013855400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Levi Jack |
| Credentials | DDS |
| Telephone Number | 2013855400 |
NPI Number Detail
| NPI Number | 1720175912 |
|---|---|
| Provider Enumeration Date | 2006-10-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 185 Cedar Ln |
|---|---|
| City | Teaneck |
| State | New Jersey (NJ) |
| Post Code | 76664316 |
| Phone Number | 2013855400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 8340 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identification code assigned to Jack Levi Dds Pa by the Centers for Medicare & Medicaid Services?
The Jack Levi Dds Pa has been issued the NPI (National Provider Identifier) 1720175912. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack Levi Dds Pa located?
The Jack Levi Dds Pa is located at 185 Cedar Ln, Teaneck, NJ 76664316.
What is Jack Levi Dds Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack Levi Dds Pa is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720175912 to Jack Levi Dds Pa?
The Centers for Medicare & Medicaid Services originally issued the 1720175912 to Jack Levi Dds Pa on 2006-10-07.
As of what date were the details pertaining to Jack Levi Dds Pa last refreshed?
The information related to the Jack Levi Dds Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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