Provider Demographics
NPI:1912037870
Name:LEVITT, DANIEL BARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BARRY
Last Name:LEVITT
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 1:16034 WILLETS POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3342
Mailing Address - Country:US
Mailing Address - Phone:718-746-6066
Mailing Address - Fax:718-746-5745
Practice Address - Street 1:16034 WILLETS POINT BLVD
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3342
Practice Address - Country:US
Practice Address - Phone:718-746-6066
Practice Address - Fax:718-746-5745
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0427211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice