Provider Demographics
NPI:1942301460
Name:LEVY, NORMAN STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:STEVEN
Last Name:LEVY
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 1:7000 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1016
Mailing Address - Country:US
Mailing Address - Phone:954-742-8880
Mailing Address - Fax:754-741-8965
Practice Address - Street 1:7000 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-1016
Practice Address - Country:US
Practice Address - Phone:954-742-8880
Practice Address - Fax:754-741-8965
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6884122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL591755103OtherFED TAX ID