Doctor Name: | DR. SHELLY LEVIN |
NPI Number: | 1023351715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS |
License Number: | DN21753 |
Business Practice Address: | 19084 Ne 29th Ave Aventura, FL - 331802805 |
Business Phone Number: | 5168084277 |
Business Fax Number: | 3059370186 |
Mailing Address: | 19084 Ne 29th Ave, AVENTURA |
State: | FL |
Postal Code: | 331802805 |
Phone Number: | 5168084277 |
Fax Number: | 3059370186 |
NPI Enumeration Date: | 04/01/2013 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DN21753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |