Provider Demographics
NPI:1780756759
Name:LEVINSKY, IRA GERALD (DDS)
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:GERALD
Last Name:LEVINSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26001 ANNESLEY RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2468
Mailing Address - Country:US
Mailing Address - Phone:216-360-0856
Mailing Address - Fax:440-442-1090
Practice Address - Street 1:5596 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2921
Practice Address - Country:US
Practice Address - Phone:440-442-8220
Practice Address - Fax:440-442-1090
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0181781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice