Organization
ACADEMY DENTAL OF LEVITTOWN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVLEEN K THIND DDS (DENTIST)
(215) 515-0700
Entity
Organization
Contact information
Practice address
197 KENWOOD DR N, SUITE B, LEVITTOWN, PA 19055-2461
(215) 515-0700
Mailing address
102 EAGLES CHASE DR, LAWRENCEVILLE, NJ 08648-2561
(732) 318-7121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102872201-0001
—
PA
Enumeration date
01/22/2017
Last updated
01/22/2017
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