# MARK LEVY DDS INC

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

## Provider details

- **NPI number:** 1215229703
- **Authorized official:** DR. MARK LEVY DDS (PRESIDENT)
- **Authorized official phone:** (614) 476-6696

## Contact information

- **Practice address:** 925 N HAMILTON RD, SUITE 200, GAHANNA, OH 43230-8708
- **Practice address phone:** (614) 476-6696
- **Practice address fax:** (614) 476-5366
- **Mailing address:** 925 N HAMILTON RD, SUITE 200, GAHANNA, OH 43230-8708
- **Mailing address phone:** (614) 476-6696
- **Mailing address fax:** (614) 476-5366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30016150 | OH | Yes |

## Other

- **Enumeration date:** 05/03/2011
- **Last updated:** 05/03/2011