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LA DENTAL INC LEVI EVALT DDS DENTAL EXCELLENCE
NPI 1114523487
Dentist - General Practice in Corry, PA

Active since December 10, 2020
209 N CENTER ST, CORRY, PA 16407(814) 664-2012(814) 964-4055 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About La Dental Inc Levi Evalt Dds Dental Excellence NPPES

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

LA DENTAL INC LEVI EVALT DDS DENTAL EXCELLENCE (NPI 1114523487) is a healthcare organization registered as a general practice in Corry, Pennsylvania and active in the NPI registry since December 2020. The organization lists Levi Robert Evalt, Owner, as its authorized official.

NPPES Registry Identity

NPI1114523487
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLA DENTAL INC LEVI EVALT DDS DENTAL EXCELLENCE
Location Address209 N CENTER STCorry, PA 16407-1626
Mailing Address209 N Center StCorry, PA 16407-1626 · (814) 664-2012 · Fax (814) 964-4055
Phone(814) 664-2012
Fax(814) 964-4055
Organization SubpartNo
Authorized OfficialLevi Robert EvaltOwner · (814) 664-2012
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1114523487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
209 N CENTER ST, Corry, PA 16407
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Other Identifiers 3

Medicaid000870813PA
Medicaid102543929PA
Medicaid001967890PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

AFFORDABLE SMILES OF CORRY
Dentist
209 N CENTER ST
CORRY, PA 16407
Erie County (814) 664-2012
AFFORDABLE SMILES INC.
Dentist
209 N CENTER ST
CORRY, PA 16407
Erie County (814) 664-2012
DR. LEVI R EVALT DDS
Dentist (General Practice)
209 N CENTER ST
CORRY, PA 16407
Erie County (814) 664-2012

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 La Dental Inc Levi Evalt Dds Dental Excellence's NPI number?

The NPI number for La Dental Inc Levi Evalt Dds Dental Excellence is 1114523487. It was assigned to this organization in the NPPES registry on December 10, 2020.

Where is La Dental Inc Levi Evalt Dds Dental Excellence located?

La Dental Inc Levi Evalt Dds Dental Excellence is located at 209 N Center St, Corry, PA 16407. The listed phone number is (814) 664-2012.

What is La Dental Inc Levi Evalt Dds Dental Excellence's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for La Dental Inc Levi Evalt Dds Dental Excellence was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.