Provider Demographics
NPI:1487655601
Name:LEBOWITZ, ERIC JEFFREY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JEFFREY
Last Name:LEBOWITZ
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 1:9000 SW 87 CT
Mailing Address - Street 2:STE 120
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-279-4312
Mailing Address - Fax:305-596-6632
Practice Address - Street 1:9000 SW 87 CT
Practice Address - Street 2:STE 120
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-279-4312
Practice Address - Fax:305-596-6632
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD 58891223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry