LEVI UPHAM, DDS

Dentist

Active Individual
NPI: 1174416564

Practice Address

1111 E END BLVD
Wilkes Barre, PA 18711

Phone: (570) 824-3521

Specialties

Specialty Code Primary License
Dentist 122300000X Yes DS044755 (PA)

Frequently Asked Questions

NPI 1174416564 is the National Provider Identifier for LEVI UPHAM, DDS, a Dentist provider located in Wilkes Barre, PA. This NPI was enumerated on June 2, 2025.
LEVI UPHAM, DDS practices at 1111 E END BLVD, Wilkes Barre, PA 18711.

Quick Facts

NPI
1174416564
Type
Individual
Enumerated
Jun 2, 2025
Last Updated
Jun 2, 2025

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