IndividualActive
Alan Levi, PHD DMD
NPI 1013067164 · General Practice Dentistry · St Louis, MO
Provider details
- NPI number
- 1013067164
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- PHD DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 13562 (MO)
Specialties & taxonomies
Dental Providers
Practice location
11709 Old Ballas
Ste 100
St Louis, MO 63141-7029
Phone: (314) 432-0960
Fax: (314) 432-0972
Approximate (ZIP-level) locationGet directions
Mailing address
11709 Old Ballas
St Louis, MO 63141-7029
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.