# MICHAEL D. LEVY, D.M.D., P.C.

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

## Provider details

- **NPI number:** 1790888105
- **Authorized official:** JENNIFER B HOMACKI (OFFICE MANAGER)
- **Authorized official phone:** (215) 855-0707

## Contact information

- **Practice address:** 704 SOUTH BROAD STREET, LANSDALE, PA 19446-5242
- **Practice address phone:** (215) 855-0708
- **Practice address fax:** (215) 855-8901
- **Mailing address:** 704 S BROAD ST STE 1, LANSDALE, PA 19446-5242
- **Mailing address phone:** (215) 855-0707
- **Mailing address fax:** (215) 855-8901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS026541L | PA | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 12/18/2018