Provider Demographics
NPI:1609446830
Name:LEVY, SARAH LEAH (DMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LEAH
Last Name:LEVY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6326 NW 78TH PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2474
Mailing Address - Country:US
Mailing Address - Phone:484-707-9877
Mailing Address - Fax:
Practice Address - Street 1:7400 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1698
Practice Address - Country:US
Practice Address - Phone:954-709-1943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS043176122300000X
FLDN265691223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist