Individual provider · Type 1 NPI

Levi Michael Upham, DDS

Dentist · Wilkes Barre, PA

NPI number 1174416564 Active

Practice location

1111 E End Blvd
Wilkes Barre, PA 18711-0030

Call (570) 824-3521 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS044755 (PA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1174416564

Levi Michael Upham, DDS's National Provider Identifier is 1174416564, issued on Jun 2, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Jun 2, 2025.