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Dr. Casey Jon Leavitt, DDS
General Practice Dentistry in Pocatello, Idaho
NPI 1952495491

Casey Jon Leavitt is a General Practice Dentistry based in Pocatello, ID and is specialized in General Practice. Casey Jon Leavitt practices in Pocatello, ID and has the professional credentials of DDS. The NPI Number for Casey Jon Leavitt is 1952495491 and holds a License No. D3630 (Idaho).

The current practice location address for Casey Jon Leavitt is 333 W. Cedar, Pocatello, ID and can be reached out via phone at 208-233-6900 and via fax at 208-233-6909.

Location: 333 W. Cedar, Pocatello, ID, 83201-5045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952495491
Provider Name
Casey Jon Leavitt
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
333 W. Cedar, Pocatello, ID, 83201-5045
Phone Number
208-233-6900
Fax Number
208-233-6909
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00016K505 01 ID BLUE CROSS BLUE SHIELD
1531413 01 ID UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
333 W. Cedar
City
Pocatello
State
Idaho
Zip
83201-5045
Phone Number
208-233-6900
Fax Number
208-233-6909
person
Provider Business Mailing Address Details
Address
333 W. Cedar
City
Pocatello
State
Idaho
Zip
83201-5045
Phone Number
208-233-6900
Fax Number
208-233-6909
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D3630 (Idaho)
Definition
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.
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