Levens, Lawrence Jay

Levens, Lawrence Jay is an sole proprietor health care provider with primary practice located at 2821 N Ballas Rd Suite 155, Saint Louis MO 63131-2321. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Levens, Lawrence Jay can be contacted via phone (314) 872-3218.

Contact Information

Primary practice address
2821 N Ballas Rd Suite 155 Saint Louis MO 63131-2321
Fax: (314) 872-3219
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 014562 Missouri

Profile Details

NPI number 1043350424
LBN Legal business name Levens, Lawrence Jay
Credentials DDS, MS, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043350424 NPPES
Missouri Other 014562 STATE LICENSE NUMBER
Missouri Other 1366646622 STATE LICENSE NUMBER

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