Provider Demographics
NPI:1356216089
Name:LEVO DENTAL 5 PLLC
Entity type:Organization
Organization Name:LEVO DENTAL 5 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-678-1493
Mailing Address - Street 1:833 LANDA ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6115
Mailing Address - Country:US
Mailing Address - Phone:830-629-7494
Mailing Address - Fax:830-730-4070
Practice Address - Street 1:833 LANDA ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6115
Practice Address - Country:US
Practice Address - Phone:830-629-7494
Practice Address - Fax:830-730-4070
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEVO DENTAL 5 PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty