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Jack Levine, DDS
NPI 1164564464 · on the registry since 2007 · sole proprietor
Practice
- Address
- 375 Orange St
New Haven, CT 06511 - Phone
- (203) 624-7571
- Fax
- (203) 624-2675
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut