Organization
LAWRENCE J. LEVENS, DDS, MS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JAY LEVENS DDS, MS, P.C. (ORTHODONTIST)
(314) 872-3218
Entity
Organization
Contact information
Practice address
2821 N BALLAS RD, SUITE 155, SAINT LOUIS, MO 63131-2321
(314) 872-3218
(314) 872-3219
Mailing address
2821 N BALLAS RD, SUITE 155, SAINT LOUIS, MO 63131-2321
(314) 872-3218
(314) 872-3219
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014562
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014562
STATE LICENSE NUMBER
MO
Enumeration date
06/12/2007
Last updated
08/22/2020
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