| Dr. Mark S. Levy, DMD PC | |
|
1795 Main St Suite 203 Springfield MA 01103-1077 | |
| (413) 732-4916 | |
| Not Available |
| Full Name | Dr. Mark S. Levy, DMD PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1795 Main St, Springfield, Massachusetts |
| Authorized Official Name and Position | Sharon N Levy (CLERK) |
| Authorized Official Contact | 4135676528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mark S. Levy, DMD PC 1795 Main St Suite 203 Springfield MA 01103-1077 Ph: (413) 732-4916 | Dr. Mark S. Levy, DMD PC 1795 Main St Suite 203 Springfield MA 01103-1077 Ph: (413) 732-4916 |
| NPI Number | 1619007093 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619007093 | NPI | - | NPPES |
| 0246034 | Medicaid | MA | |
| X03981 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12315 (Massachusetts) | Primary |
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