Individual
DR. SCOTT NEIL LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11711 W BURLEIGH ST, WAUWATOSA, WI 53222-3108
(414) 777-3800
(414) 777-3839
Mailing address
8625 N DEAN CIR, RIVER HILLS, WI 53217-2038
(414) 351-1751
(414) 351-2735
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5001814-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33417400
—
WI
Enumeration date
07/05/2006
Last updated
07/08/2007
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