Mannie Levi, DDS
Individual provider Active NPI Pediatric Dentistry · Upper Montclair, NJ
NPI 1487729570 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487729570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DI12716 (NJ)
- Practice address
- 204 Bellevue Ave
Upper Montclair, NJ 07043-1893 - Phone
- (973) 783-4491
- Fax
- (973) 783-5286
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DI12716 | NJ | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DI12716 | NJ | Yes |
Addresses
Primary practice location
204 Bellevue Ave
Upper Montclair, NJ 07043-1893
Mailing address
204 Bellevue Ave
Upper Montclair, NJ 07043-1893
Phone (973) 783-4491
Other providers in Upper Montclair, NJ
- Sabine Labonne
- Michelle Lago
- Laurence Rosen LCSW LLC
- Lisa Anne Leidecker
- Sylvie Alicia Levesque
- Mana Lang Levine
- Susan H. Levine
- Lighthouse Counseling Group LLC
- Ruthann Longo
- Jana Fern Luber
All providers in Upper Montclair, NJ · Pediatric Dentistry in New Jersey
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.