LKV Dental Sleep Medicine LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LKV DENTAL SLEEP MEDICINE LLC

Practice address

1528 Walnut St Ste 1800
Philadelphia, PA 19102-3612

Phone

(215) 772-3100

Fax

(215) 563-1707

NPI assigned

Oct 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Levin, DMDNPI 1902814999

Title

Owner

Phone

(215) 772-3100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc A Levin, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1902814999
  NPD Authorized official
• Pamela Gayle Doray, D.M.D.

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1235282229
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1194077412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 1800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023612",
            "telephone_number": "215-772-3100",
            "fax_number": "215-563-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 1800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023612",
            "telephone_number": "215-772-3100",
            "fax_number": "215-563-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKV DENTAL SLEEP MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-772-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odilia Lizardo, MA
• Bruce Lizerbram, D.O.
• Samuel Lizerbram, D.O.
• Gunnar Vatana Ljungqvist, MD
• LK Pharmacy Inc
• January Llaverias, CASE MANAGER
• Jeanne Llenado, D.O.
• Wallace Llera, M.D.
• Lianna Rachel Llewellyn, MD
• Timothy W Llewellyn, DPT

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.