Provider Demographics
NPI:1992832091
Name:LEVITT & PRASATTHONG, D. D. S., P. A.
Entity Type:Organization
Organization Name:LEVITT & PRASATTHONG, D. D. S., P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MYLES
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEVITT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:727-345-3151
Mailing Address - Street 1:480 COFFEE POT RIVIERA NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3616
Mailing Address - Country:US
Mailing Address - Phone:727-821-6600
Mailing Address - Fax:727-345-6551
Practice Address - Street 1:7701 38TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1234
Practice Address - Country:US
Practice Address - Phone:727-345-3151
Practice Address - Fax:727-345-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty