Provider Demographics
NPI:1043535883
Name:NIKOYAN, LEVON (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEVON
Middle Name:
Last Name:NIKOYAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24862 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11001-4002
Mailing Address - Country:US
Mailing Address - Phone:516-775-2222
Mailing Address - Fax:
Practice Address - Street 1:24862 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:BELLEROSE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11001-4002
Practice Address - Country:US
Practice Address - Phone:516-775-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50 056226122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist