Individual
DR. SAMUEL RAY LEVATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, LTD.
Contact information
Practice address
10028 JEFFERSON HWY, BATON ROUGE, LA 70809-2723
(225) 296-5980
(225) 296-0218
Mailing address
10028 JEFFERSON HWY, BATON ROUGE, LA 70809-2723
(225) 296-5980
(225) 296-0218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2544
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70758
—
LA
Enumeration date
08/07/2006
Last updated
06/29/2022
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