Individual
DR. ROBERT EDWARD LEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8605 MONTAGUE LN, MYRTLE BEACH, SC 29588-4504
(843) 650-5100
Mailing address
2 WOODHUE CT, LUFKIN, TX 75904-4318
(936) 240-3365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10690
SC
122300000X
Dentist
Primary
9267
CO
1223G0001X
General Practice Dentistry
16977
TX
Other
Enumeration date
03/23/2007
Last updated
09/18/2024
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