# ACADEMY DENTAL OF LEVITTOWN PA

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

## Provider details

- **NPI number:** 1740727262
- **Authorized official:** NAVLEEN K THIND DDS (DENTIST)
- **Authorized official phone:** (215) 515-0700

## Contact information

- **Practice address:** 197 KENWOOD DR N, SUITE B, LEVITTOWN, PA 19055-2461
- **Practice address phone:** (215) 515-0700
- **Mailing address:** 102 EAGLES CHASE DR, LAWRENCEVILLE, NJ 08648-2561
- **Mailing address phone:** (732) 318-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS039402 | PA | Yes |

## Other

- **Enumeration date:** 01/22/2017
- **Last updated:** 01/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102872201-0001 | — | PA |