Provider Demographics
NPI:1376652438
Name:LEVENTHAL DDS, PAUL HOWARD (PAUL LEVENTHAL DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HOWARD
Last Name:LEVENTHAL DDS
Suffix:
Gender:M
Credentials:PAUL LEVENTHAL DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 401
Mailing Address - Street 2:4680 YORK ROAD
Mailing Address - City:BUCKINGHAM
Mailing Address - State:PA
Mailing Address - Zip Code:18912-0401
Mailing Address - Country:US
Mailing Address - Phone:215-794-3224
Mailing Address - Fax:215-794-1111
Practice Address - Street 1:4680 YORK ROAD
Practice Address - Street 2:
Practice Address - City:BUCKINGHAM
Practice Address - State:PA
Practice Address - Zip Code:18912-0401
Practice Address - Country:US
Practice Address - Phone:215-794-3224
Practice Address - Fax:215-794-1111
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA26139-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice