Provider Demographics
NPI:1700996865
Name:PAUL LEVENTHAL DDS PC
Entity Type:Organization
Organization Name:PAUL LEVENTHAL DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:LEVENTHAL DDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-794-3224
Mailing Address - Street 1:PO BOX 401
Mailing Address - Street 2:4680 YORK ROAD
Mailing Address - City:BUCKINGHAM
Mailing Address - State:PA
Mailing Address - Zip Code:18912-0401
Mailing Address - Country:US
Mailing Address - Phone:215-794-3224
Mailing Address - Fax:215-794-1111
Practice Address - Street 1:4680 YORK ROAD
Practice Address - Street 2:
Practice Address - City:BUCKINGHAM
Practice Address - State:PA
Practice Address - Zip Code:18912-0401
Practice Address - Country:US
Practice Address - Phone:215-794-3224
Practice Address - Fax:215-794-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26139-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty