| Leah Fax DDS PLLC | |
|
3739 Grand Blvd Brookfield IL 60513-1623 | |
| (608) 438-9468 | |
| Not Available |
| Full Name | Leah Fax DDS PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3739 Grand Blvd, Brookfield, Illinois |
| Authorized Official Name and Position | Leah Fax (GENERAL DENTIST) |
| Authorized Official Contact | 6084389468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Fax DDS PLLC 735 N Catherine Ave La Grange Park IL 60526-1504 Ph: (608) 438-9468 | Leah Fax DDS PLLC 3739 Grand Blvd Brookfield IL 60513-1623 Ph: (608) 438-9468 |
| NPI Number | 1073451266 |
|---|---|
| Provider Enumeration Date | 03/23/2026 |
| Last Update Date | 03/31/2026 |
| Certification Date | 03/31/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073451266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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