Provider Demographics
NPI:1760504229
Name:LEVINSON, HOWARD ALAN (DDS)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:ALAN
Last Name:LEVINSON
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 1:267 SLICKBACK RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:KY
Mailing Address - Zip Code:42025-7629
Mailing Address - Country:US
Mailing Address - Phone:270-527-8441
Mailing Address - Fax:270-527-4187
Practice Address - Street 1:UK DENTISTRY WEST REGIONAL CLINIC
Practice Address - Street 2:267 SLICKBACK RD
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-7629
Practice Address - Country:US
Practice Address - Phone:270-527-8441
Practice Address - Fax:270-527-4187
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY97911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice