# ROBERT A LEVY DMD LLC

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

## Provider details

- **NPI number:** 1710132873
- **Authorized official:** DR. ROBERT ALLEN LEVY DMD (DENTIST/OWNER)
- **Authorized official phone:** (314) 569-0106

## Contact information

- **Practice address:** 777 S NEW BALLAS RD, SUITE 322 E, SAINT LOUIS, MO 63141-8705
- **Practice address phone:** (314) 569-0106
- **Mailing address:** 777 S NEW BALLAS RD, SUITE 322 E, SAINT LOUIS, MO 63141-8705
- **Mailing address phone:** (314) 569-0106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 13563 | MO | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 03/06/2013