Provider Demographics
NPI:1235206905
Name:HARRY LEVER DDS, PA
Entity Type:Organization
Organization Name:HARRY LEVER DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:LEVER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-275-0487
Mailing Address - Street 1:408 PARKWAY STE A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1656
Mailing Address - Country:US
Mailing Address - Phone:336-275-0486
Mailing Address - Fax:336-275-0500
Practice Address - Street 1:408 PARKWAY STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1656
Practice Address - Country:US
Practice Address - Phone:336-275-0487
Practice Address - Fax:336-275-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty