| Dr Kenneth R Levine | |
|
8333 W Mcnab Rd Ste 104 Tamarac FL 33321-3203 | |
| (954) 722-1100 | |
| (954) 722-1434 |
| Full Name | Dr Kenneth R Levine |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 8333 W Mcnab Rd Ste 104, Tamarac, Florida |
| Authorized Official Name and Position | Kenneth R Levine (DOCTOR) |
| Authorized Official Contact | 9547221100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth R Levine 8333 W Mcnab Rd Ste 104 Tamarac FL 33321-3203 Ph: (954) 722-1100 | Dr Kenneth R Levine 8333 W Mcnab Rd Ste 104 Tamarac FL 33321-3203 Ph: (954) 722-1100 |
| NPI Number | 1225251945 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 02/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225251945 | NPI | - | NPPES |
| 85330 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN6044 (Florida) | Primary |
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