Provider Demographics
NPI:1518186436
Name:GARRY BELA LEVINGART DDS P.C.
Entity Type:Organization
Organization Name:GARRY BELA LEVINGART DDS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINGART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-834-9400
Mailing Address - Street 1:208 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-6773
Mailing Address - Country:US
Mailing Address - Phone:718-834-9400
Mailing Address - Fax:718-834-9401
Practice Address - Street 1:208 SMITH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-6773
Practice Address - Country:US
Practice Address - Phone:718-834-9400
Practice Address - Fax:718-834-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01353557Medicaid