Levin, Mark S

Levin, Mark S is an individual health care provider with primary practice located at 1055 Kempsville Rd , Virginia Beach VA 23464-5501. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Levin, Mark S can be contacted via phone (757) 474-1200.

Contact Information

Primary practice address
1055 Kempsville Rd Virginia Beach VA 23464-5501
Phone: (757) 474-1200
Fax: (757) 474-9392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0401005706 Virginia

Profile Details

NPI number 1073620746
LBN Legal business name Levin, Mark S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1073620746 NPPES
Virginia Other 021357 UNITED CONCORDIA

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