Jack M Levine is a General Practice in New Haven, Connecticut. Jack M Levine practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack M Levine is 1164564464. The last update date is 2016-11-14.
Jack M Levine's current location address is 375 Orange St, New Haven, Connecticut. You can contact this provider via phone number 2036247571 and fax number 2036242675. The mailing address for Jack M Levine is 375 Orange St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack M Levine |
|---|---|
| Address | 375 Orange St, New Haven, Connecticut |
| Phone Number | 2036247571 |
| Fax Number | 2036242675 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164564464 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2016-11-14 |
Provider Mailing Address Detail
| Address | 375 Orange St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65116406 |
| Phone Number | 2036247571 |
| Fax Number | 2036242675 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4665 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Jack M Levine by the Centers for Medicare & Medicaid Services?
The Jack M Levine has been assigned the NPI (National Provider Identifier) 1164564464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jack M Levine?
The Jack M Levine is physically situated at 375 Orange St, in the city of New Haven, state of CT, with the postal code 65116406.
What is Jack M Levine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack M Levine is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Jack M Levine receive its 1164564464 assignment from the Centers for Medicare & Medicaid Services?
The Jack M Levine was assigned its 1164564464 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details pertaining to Jack M Levine last refreshed?
The information related to the Jack M Levine, including its address, specialty, and other relevant details, was last updated on 2016-11-14.