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JOSHUA M LEAVITT DMD MS LLC NPI 1447602602


NPI Information

NPI: 1447602602
Provider Name: JOSHUA M LEAVITT DMD MS LLC

Doing Business As: PEDIATRIC DENTISTRY OF CENTRAL OHIO

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1600 CROSS CREEKS BLVD
PICKERINGTON, OH
ZIP 43147
Phone: (614) 863-8500
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JOSHUA M LEAVITT DMD MS LLC is a pediatric dentistry dentist in Pickerington, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JOSHUA M LEAVITT DMD MS LLC NPI is 1447602602. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dentistry Of Central Ohio.

The provider's business location address is:

1600 CROSS CREEKS BLVD
PICKERINGTON, OH
ZIP 43147-189
Phone: (614) 863-8500
Fax: (614) 863-0874

The provider's authorized official is Joshua Leavitt .
The authorized official title is President/owner and has the following contact phone number (702) 325-5268.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 7/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry30-024355OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10121571MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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