Provider Demographics
NPI:1194989277
Name:LEVINE, STEVEN S (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:S
Last Name:LEVINE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WHITE HORSE RD W
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3610
Mailing Address - Country:US
Mailing Address - Phone:856-784-5061
Mailing Address - Fax:856-309-2902
Practice Address - Street 1:102 WHITE HORSE RD W
Practice Address - Street 2:SUITE 101
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3610
Practice Address - Country:US
Practice Address - Phone:856-784-5061
Practice Address - Fax:856-309-2902
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D101228800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist