Walter Hill Levie Jr. – General Practice Dentistry

Key facts

NPI: 1114147196
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DN009449 (GA)
Practice address: 201 E Villanow St
La Fayette, GA 30728-2520
Phone: (706) 638-2784
Fax: (706) 638-7428
NPI assigned: May 1, 2007
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Levie Family Dentistry PC General Practice Dentistry · La Fayette, GA · NPI 1235837832

NPD GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
DN009449	GA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Levie Family Dentistry PC	General Practice	Current since Feb 26, 2023	Accepting new patients

Locations

201 E Villanow St
La Fayette, GA 30728
Phone (706) 638-2784

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	DN009449	GA	Yes

Addresses

Primary practice location

201 E Villanow St
La Fayette, GA 30728-2520

Mailing address

201 E Villanow St
P.O. Box 1725
La Fayette, GA 30728-2520
Phone (706) 638-2784

Other providers in La Fayette, GA

All providers in La Fayette, GA · General Practice Dentistry in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.