Provider Demographics
NPI:1871606509
Name:LEVY, PAUL E (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:E
Last Name:LEVY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:187 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5020
Mailing Address - Country:US
Mailing Address - Phone:603-228-9050
Mailing Address - Fax:603-229-0237
Practice Address - Street 1:187 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5020
Practice Address - Country:US
Practice Address - Phone:603-228-9050
Practice Address - Fax:603-229-0237
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH19751223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology