LAWRENCE M LEVIN DMD
NPI 1104855634
Oral & Maxillofacial Surgery in Philadelphia, PA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE ST, 5 WHITE BUILDING, PHILADELPHIA, PA 19104(215) 662-3580(215) 662-7445 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lawrence M Levin Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE M LEVIN DMD (NPI 1104855634) is an individual oral & maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD421768) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1989).

NPPES Registry Identity

NPI1104855634
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameLAWRENCE M LEVINCredential: DMD
Location Address3400 SPRUCE ST, 5 WHITE BUILDINGPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, 5 White BuildingPhiladelphia, PA 19104-4206 · (215) 662-3580 · Fax (215) 662-7445
Fax(215) 662-7445
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1989
Enumeration DateJune 30, 2006
Last NPPES UpdateSeptember 3, 2015
NPI 1104855634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in PA · MD421768
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License DS025560L (PA)
3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 3

Medicaid0012815230001PA
Medicare UPINU32156
Medicare PIN725074PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lawrence M Levin Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971585027
PECOS Enrollment IDI20040603000181
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Levin's NPI number?

The NPI number for Lawrence Levin is 1104855634. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Lawrence Levin located?

Lawrence Levin practices at 3400 Spruce St 5 White Building, Philadelphia, PA 19104. The listed phone number is (215) 662-3580.

What is Lawrence Levin's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Lawrence Levin enrolled in Medicare?

Yes. Lawrence Levin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lawrence Levin was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.