Provider Demographics
NPI:1598798449
Name:LEVIN, JOANNA Z (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:Z
Last Name:LEVIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 RAMPART WAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6406
Mailing Address - Country:US
Mailing Address - Phone:303-366-9090
Mailing Address - Fax:
Practice Address - Street 1:125 RAMPART WAY
Practice Address - Street 2:SUITE 301
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6406
Practice Address - Country:US
Practice Address - Phone:303-366-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics