Provider Demographics
NPI:1366823304
Name:LEVY, ARLYN BERNS (DMD)
Entity type:Individual
Prefix:
First Name:ARLYN
Middle Name:BERNS
Last Name:LEVY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20445 N 36TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-2269
Mailing Address - Country:US
Mailing Address - Phone:561-389-0477
Mailing Address - Fax:
Practice Address - Street 1:20445 N 36TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-2269
Practice Address - Country:US
Practice Address - Phone:561-389-0477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD009197122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist