DR. THOMAS RUSSELL LEVICKAS (NPI# 1104918358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104918358 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RUSSELL LEVICKAS |
| Credential | D.D.S. |
| Practice Address |
8025 Ritchie Hwy Suite 205 Pasadena MD 21122-1031 |
| Practice Telephone | 4107687740 |
| Practice Fax Number | 4107681528 |
| Mailing Telephone | 4107687740 |
| Mailing Fax Number | 4107681528 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4490 | MD | Dental Providers |
| Street Address |
8025 RITCHIE HWY SUITE 205 |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332391 | Kenneth Mangano | Dentist | 8025 Ritchie Hwy, Suite 204, Pasadena, MD 21122-1031 | 2005-08-10 |
| 1902156953 | Smile Sisters, LLC | Dentist | 8025 Ritchie Hwy, Suite 205, Pasadena, MD 21122-1031 | 2012-09-18 |
| 1598022576 | Kevin M Seborg | Hearing Instrument Specialist | 8025 Ritchie Hwy, 102, Pasadena, MD 21122-1031 | 2012-04-16 |
| 1598929697 | Elizabeth Popovich-scott | Hearing Instrument Specialist | 8025 Ritchie Hwy, 102, Pasadena, MD 21122-1031 | 2008-07-17 |
| 1003077397 | Elise Dawn Guttridge | Audiologist | 8025 Ritchie Hwy, Suite 102, Pasadena, MD 21122 | 2008-06-19 |
| 1548434368 | 3d Hearing, Inc. | Hearing Aid Equipment | 8025 Ritchie Hwy, Ste 102, Pasadena, MD 21122-1031 | 2008-04-14 |
| 1285779785 | Karen Mygil | Dentist | 8025 Ritchie Hwy, Pasadena, MD 21122-1031 | 2007-02-21 |
| 1487798856 | Kenneth Mangano, Dds Pa | Dentist | 8025 Ritchie Hwy, Suite 204, Pasadena, MD 21122-1031 | 2007-02-17 |
| 1396887600 | Charles Kirk Payne | Hearing Instrument Specialist | 8025 Ritchie Hwy, Suite 102, Pasadena, MD 21122-1031 | 2007-02-13 |
| 1740225903 | True Care Ambulatory Surgery Ct LLC | Urology | 8025 Ritchie Hwy, #114, Pasadena, MD 21122 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197208 | Dental Land Pllc | Dentist | 2525 Southmore Ave # Site200, Pasadena, TX 77502-1451 | 2020-03-03 |
| 1346801792 | Koutchekpour & Spero, A Professional Corporation | Dentist | 900 Valley View Ave Unit 2, Pasadena, CA 91107-1976 | 2019-06-26 |
| 1912563958 | Cisneros Dentistry Pllc | Dentist | 918 W Southmore Ave Ste 115, Pasadena, TX 77502-1020 | 2019-05-15 |
| 1649737008 | Top Dental Pasadena | Dentist | 950 E Colorado Blvd Ste 201, Pasadena, CA 91106-2300 | 2019-02-21 |
| 1225512551 | Winnie Liang | Dentist | 65 N Madison Ave Ste 506, Pasadena, CA 91101-2048 | 2018-09-22 |
| 1063920015 | Pasadena Dental Smile, Pllc | Dentist | 4002 Burke Rd # 100, Pasadena, TX 77504-3451 | 2018-01-11 |
| 1508372269 | Dong-gil Kang Dds Inc | Dentist | 668 N Los Robles Ave, Pasadena, CA 91101-1004 | 2017-12-18 |
| 1962912139 | H. Robert Stender, Dds, Inc. | Dentist | 200 S El Molino Ave Ste 6, Pasadena, CA 91101-2985 | 2017-10-02 |
| 1598293250 | Chandni P. Jogani, D.d.s. | Dentist | 175 S El Molino Ave Ste 6, Pasadena, CA 91101-2564 | 2017-05-25 |
| 1053843359 | Kyle Low | Dentist | 301 S Fair Oaks Ave Ste 205, Pasadena, CA 91105-2536 | 2017-03-28 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.