Provider Demographics
NPI:1801468491
Name:BARI LEVINE DMD PLLC
Entity type:Organization
Organization Name:BARI LEVINE DMD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BARI
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MPH
Authorized Official - Phone:610-538-6080
Mailing Address - Street 1:540 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1004
Mailing Address - Country:US
Mailing Address - Phone:215-913-4428
Mailing Address - Fax:
Practice Address - Street 1:701 MONTGOMERY AVE STE 2
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-2036
Practice Address - Country:US
Practice Address - Phone:484-430-1338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty