Provider Demographics
NPI:1851449334
Name:LEVIN, BARRY P (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:P
Last Name:LEVIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7848 OLD YORK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2541
Mailing Address - Country:US
Mailing Address - Phone:215-635-0465
Mailing Address - Fax:215-635-2751
Practice Address - Street 1:509 YORK RD
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-2102
Practice Address - Country:US
Practice Address - Phone:215-635-0465
Practice Address - Fax:215-885-3407
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029658L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics