Organization
HILZENRATH AND LEVINE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM LEVINE DDS, MS (DOCTOR)
(781) 860-9473
Entity
Organization
Contact information
Practice address
21A MUZZEY ST, LEXINGTON, MA 02421-5202
(781) 860-9473
Mailing address
21A MUZZEY ST, LEXINGTON, MA 02421-5202
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044087
UNITED CONCORDIA
MA
01
—
X12283
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/15/2006
Last updated
08/22/2020
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