# FRED J LEVIN DMD PC

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

## Provider details

- **NPI number:** 1942218854
- **Authorized official:** FRED J LEVIN DMD (OWNER)
- **Authorized official phone:** (717) 569-6487

## Contact information

- **Practice address:** 131 FOXSHIRE DRIVE, LANCASTER, PA 17601-3983
- **Practice address phone:** (717) 569-6487
- **Practice address fax:** (717) 581-5487
- **Mailing address:** 131 FOXSHIRE DRIVE, LANCASTER, PA 17601-3983
- **Mailing address phone:** (717) 569-6487
- **Mailing address fax:** (717) 581-5487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DS017799L | PA | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 04/06/2011