Provider Demographics
NPI:1568689784
Name:LEVIN, ALAN JEFFERY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JEFFERY
Last Name:LEVIN
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 1:10182 STONERIDGE TER
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9505
Mailing Address - Country:US
Mailing Address - Phone:303-840-2688
Mailing Address - Fax:720-851-6607
Practice Address - Street 1:6825 E TENNESSEE AVE
Practice Address - Street 2:STE. 621
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1628
Practice Address - Country:US
Practice Address - Phone:303-333-2221
Practice Address - Fax:303-377-4876
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice