| Joshua M. Leavitt D.m.d., M.s. Llc | |
|
605 Diley Rd. Pickerington OH 43147-8399 | |
| (614) 863-8500 | |
| (614) 863-0874 |
| Full Name | Joshua M. Leavitt D.m.d., M.s. Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 605 Diley Rd., Pickerington, Ohio |
| Authorized Official Name and Position | Joshua Leavitt (PRESIDENT/OWNER) |
| Authorized Official Contact | 7023255268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua M. Leavitt D.m.d., M.s. Llc 605 Diley Rd. Pickerington OH 43147-8399 Ph: (614) 863-8500 | Joshua M. Leavitt D.m.d., M.s. Llc 605 Diley Rd. Pickerington OH 43147-8399 Ph: (614) 863-8500 |
| NPI Number | 1447602602 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447602602 | NPI | - | NPPES |
| 0121571 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30-024355 (Ohio) | Primary |
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