Provider Demographics
NPI:1619070869
Name:DR HARVEY LEVY & ASSOC PC
Entity Type:Organization
Organization Name:DR HARVEY LEVY & ASSOC PC
Other - Org Name:HARVEY LEVY DMD & ASSOC PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:301-663-8300
Mailing Address - Street 1:198 THOMAS JOHNSON DRIVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4434
Mailing Address - Country:US
Mailing Address - Phone:301-663-8300
Mailing Address - Fax:301-682-3993
Practice Address - Street 1:198 THOMAS JOHNSON DRIVE
Practice Address - Street 2:SUITE 108
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4434
Practice Address - Country:US
Practice Address - Phone:301-663-8300
Practice Address - Fax:301-682-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD070191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty