Gerald M. Levine, D.M.D.,P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12997 Issued in FL

Legal business name

GERALD M. LEVINE, D.M.D.,P.A.

Practice address

4558 S Kirkman Rd
Orlando, FL 32811-2848

Phone

(407) 294-0067

Fax

(407) 294-4060

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Suzette M Levine

Title

Office Coordinator

Phone

(407) 294-0067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald M Levine, D.M.D.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1609935634
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1245383157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112848",
            "telephone_number": "407-294-0067",
            "fax_number": "407-294-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112848",
            "telephone_number": "407-294-0067",
            "fax_number": "407-294-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD M. LEVINE, D.M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "407-294-0067"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "12997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Angadiath George, PHARMD
• Sara Rebecca Georges, RBT
• Mary Georgi
• Ioannis John Georgiou, PA-C
• Karim Riad Georgy, O.D.
• Gerald R Goss D.O., P.a.
• Gerald R. Mattia D.C., P.a. (Mattia Chiropractic and Wellness)
• Elisa Marie Geraldino Castillo, M.D
• Sohrab Gerami, M.D.
• Gerardo Rojas PA (Formidable Health)

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.