# LEVI R EVALT DDS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Family & Cosmetic Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528239787
- **Authorized official:** DR. LEVI R EVALT DDS (DENTIST)
- **Authorized official phone:** (814) 725-9000

## Contact information

- **Practice address:** 13025 WEST MAIN RD, NORTH EAST, PA 16428-2857
- **Practice address phone:** (814) 725-9000
- **Practice address fax:** (814) 725-9100
- **Mailing address:** 13025 WEST MAIN RD, NORTH EAST, PA 16428-2857
- **Mailing address phone:** (814) 725-9000
- **Mailing address fax:** (814) 725-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2008