# LKV DENTAL SLEEP MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194077412
- **Authorized official:** DR. MARC LEVIN DMD (OWNER)
- **Authorized official phone:** (215) 772-3100

## Contact information

- **Practice address:** 1528 WALNUT ST STE 1800, PHILADELPHIA, PA 19102-3612
- **Practice address phone:** (215) 772-3100
- **Practice address fax:** (215) 563-1707
- **Mailing address:** 1528 WALNUT ST STE 1800, PHILADELPHIA, PA 19102-3612
- **Mailing address phone:** (215) 772-3100
- **Mailing address fax:** (215) 563-1707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2012
- **Last updated:** 06/03/2025