Levi Michael Upham, DDS
NPI #1174416564 in Wilkes Barre, Pennsylvania
Provider Information
- NPI Number
- 1174416564
- Entity Type
- Individual
- Name
- Levi Michael Upham, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 2, 2025
- Last Updated
- Jun 2, 2025
Practice Location
- Address
- 1111 E END BLVD
- City
- Wilkes Barre
- State
- Pennsylvania
- ZIP Code
- 18711-0030
- Phone
- (570) 824-3521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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