| Stanley M. Levenson, Dmd,p.c | |
|
9 Linden St Worcester MA 01609-2510 | |
| (508) 753-3105 | |
| Not Available |
| Full Name | Stanley M. Levenson, Dmd,p.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 9 Linden St, Worcester, Massachusetts |
| Authorized Official Name and Position | Stanley Mark Levenson (OWNER) |
| Authorized Official Contact | 5087533105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley M. Levenson, Dmd,p.c 9 Linden St Ste 1 Worcester MA 01609-3243 Ph: (508) 753-3105 | Stanley M. Levenson, Dmd,p.c 9 Linden St Worcester MA 01609-2510 Ph: (508) 753-3105 |
| NPI Number | 1437327368 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 03/24/2025 |
| Medicare PECOS PAC ID | 9032639463 |
|---|---|
| Medicare Enrollment ID | O20250228000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437327368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16437 (Massachusetts) | Primary |
| Provider Name | Stanley Mark Levenson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750394193 PECOS PAC ID: 3577577196 Enrollment ID: I20250325001411 |
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