Provider Demographics
NPI:1023103751
Name:GUY G. LEVY, D.D.S. AND MAYER G. LEVY, D.D.S., P.C.
Entity type:Organization
Organization Name:GUY G. LEVY, D.D.S. AND MAYER G. LEVY, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:GLICKSON
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-877-9281
Mailing Address - Street 1:367 DENBIGH BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-3732
Mailing Address - Country:US
Mailing Address - Phone:757-877-9281
Mailing Address - Fax:757-874-2730
Practice Address - Street 1:367 DENBIGH BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-3732
Practice Address - Country:US
Practice Address - Phone:757-877-9281
Practice Address - Fax:757-874-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006910261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9179532Medicaid
VA9179533Medicaid