Provider Demographics
NPI:1497783385
Name:LEVSKY, STANLEY SHEPARD (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:SHEPARD
Last Name:LEVSKY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 GUNWALE LN
Mailing Address - Street 2:
Mailing Address - City:LONGBOAT KEY
Mailing Address - State:FL
Mailing Address - Zip Code:34228-3709
Mailing Address - Country:US
Mailing Address - Phone:941-387-0770
Mailing Address - Fax:
Practice Address - Street 1:111 1ST ST NW
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3343
Practice Address - Country:US
Practice Address - Phone:727-518-8349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 60461223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics