Organization
LAWRENCE J. LEVENS, DDS, MS, P.C.
Active
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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