Provider Demographics
NPI:1750656351
Name:LEVA, STARR (DDS)
Entity Type:Individual
Prefix:DR
First Name:STARR
Middle Name:
Last Name:LEVA
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 1:71 REMINGTON DR W
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-4005
Mailing Address - Country:US
Mailing Address - Phone:303-349-6754
Mailing Address - Fax:
Practice Address - Street 1:1521 W UNIVERSITY DR STE 120
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3207
Practice Address - Country:US
Practice Address - Phone:303-349-6754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15735122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist