Provider Demographics
NPI:1346331683
Name:LEVIN, MORTON AARON (DDS)
Entity type:Individual
Prefix:
First Name:MORTON
Middle Name:AARON
Last Name:LEVIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 GILFORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249
Mailing Address - Country:US
Mailing Address - Phone:603-524-2620
Mailing Address - Fax:603-524-2865
Practice Address - Street 1:401 GILFORD AVENUE
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249
Practice Address - Country:US
Practice Address - Phone:603-524-2620
Practice Address - Fax:603-524-2865
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH2213122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30003685Medicaid