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Dr Kenneth R Levine
Periodontist in Tamarac, Florida
NPI 1225251945

Dr Kenneth R Levine is a Periodontist based in Tamarac, FL and is specialized in Periodontics. Dr Kenneth R Levine practices in Tamarac, FL. The NPI Number for Dr Kenneth R Levine is 1225251945 and holds a License No. DN6044 (Florida).

The current practice location address for Dr Kenneth R Levine is 8333 W Mcnab Rd Ste 104, Tamarac, FL and can be reached out via phone at 954-722-1100 and via fax at 954-722-1434.

Location: 8333 W Mcnab Rd Ste 104, Tamarac, FL, 33321-3203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225251945
Provider Name
Dr Kenneth R Levine
Credential
Provider Entity Type
Organization
Address
8333 W Mcnab Rd Ste 104, Tamarac, FL, 33321-3203
Phone Number
954-722-1100
Fax Number
954-722-1434
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85330 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
8333 W Mcnab Rd Ste 104
City
Tamarac
State
Florida
Zip
33321-3203
Phone Number
954-722-1100
Fax Number
954-722-1434
person
Provider Business Mailing Address Details
Address
8333 W Mcnab Rd Ste 104
City
Tamarac
State
Florida
Zip
33321-3203
Phone Number
954-722-1100
Fax Number
954-722-1434
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DN6044 (Florida)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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