Individual provider · Type 1 NPI

Marc Levicoff, DMD

Student in an Organized Health Care Education/Training Program · Brandon, FL

NPI number 1699309856 Active

Practice location

313 S Lakewood Dr
Brandon, FL 33511-2815

Mailing address

16 Galena Ct
Erial, NJ 08081-4321

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699309856

Marc Levicoff, DMD's National Provider Identifier is 1699309856, issued on Feb 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brandon, FL. The record was last updated on Feb 26, 2020.