Provider Demographics
NPI:1043956261
Name:BRUCE W. LEVIN, DMD & JOEL KLASFELD, DDS, PLLC
Entity Type:Organization
Organization Name:BRUCE W. LEVIN, DMD & JOEL KLASFELD, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KLASFELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-246-9070
Mailing Address - Street 1:630 5TH AVE STE 1870
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10111-1860
Mailing Address - Country:US
Mailing Address - Phone:212-246-9070
Mailing Address - Fax:
Practice Address - Street 1:630 5TH AVE STE 1870
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10111-1860
Practice Address - Country:US
Practice Address - Phone:212-246-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty