Provider Demographics
NPI:1134256928
Name:LEVITT, MYLES H (DDS)
Entity type:Individual
Prefix:DR
First Name:MYLES
Middle Name:H
Last Name:LEVITT
Suffix:
Gender:M
Credentials:DDS
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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
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL52221223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry