Individual
DR. MAYER GLICKSON LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
367 DENEIGH BLVD., NEWPORT NEWS, VA 23608-3732
(757) 877-9281
(757) 874-2730
Mailing address
367 DENEIGH BLVD., NEWPORT NEWS, VA 23608-3732
(757) 877-9281
(757) 874-2730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401003256
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9179533
—
VA
Enumeration date
08/30/2006
Last updated
07/08/2007
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