DR. Tyler Kellum Levie, D.D.S.

NPI #1023484805 in Lafayette, Georgia

Provider Information

NPI Number
1023484805
Entity Type
Individual
Name
DR. Tyler Kellum Levie, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Aug 17, 2015
Last Updated
Aug 17, 2015

Practice Location

Address
201 E. VILLANOW STREET
State
Georgia
ZIP Code
30728
Phone
(706) 638-2784

Specialties & Taxonomy Codes

Specialty
Dentist

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