Individual
MICHAEL J LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3270
(203) 334-8104
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-6864
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005321
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002053213
—
CT
Enumeration date
02/08/2006
Last updated
08/20/2013
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