Individual
DR. JONATHAN A. LEVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 WILDWOOD DR STE 216, GEORGETOWN, TX 78633-1352
(512) 942-6729
(512) 942-6846
Mailing address
7517 CAMERON RD STE 107, AUSTIN, TX 78752-2055
(425) 371-1222
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28811
TX
1223G0001X
General Practice Dentistry
DE00007394
WA
Other
Enumeration date
11/08/2006
Last updated
07/25/2013
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