Individual provider · Type 1 NPI

Michael Levine

Periodontics · Buffalo, NY

NPI number 1164747192 Active

Practice location

250 Squire Hall
Buffalo, NY 14214-8006

Mailing address

111 Hidden Ridge Cmn
Williamsville, NY 14221-5785

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X029302 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1164747192

Michael Levine's National Provider Identifier is 1164747192, issued on Apr 1, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Buffalo, NY. The record was last updated on Apr 1, 2010.