Casey Jon Leavitt in Pocatello - General Practice
Casey Jon Leavitt - NPI 1952495491
Casey Jon Leavitt is a General Practice in Pocatello, Idaho. Casey Jon Leavitt practices all healthcare services and medical treatments related to General Practice. The NPI Number for Casey Jon Leavitt is 1952495491. The last update date is 2007-07-08.
Casey Jon Leavitt's current location address is 333 W. Cedar, Pocatello, Idaho. You can contact this provider via phone number 2082336900 and fax number 2082336909. The mailing address for Casey Jon Leavitt is 333 W. Cedar, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Casey Jon Leavitt |
|---|---|
| Address | 333 W. Cedar, Pocatello, Idaho |
| Phone Number | 2082336900 |
| Fax Number | 2082336909 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952495491 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 333 W. Cedar |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832015045 |
| Phone Number | 2082336900 |
| Fax Number | 2082336909 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3630 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00016K505 | ID | BLUE CROSS BLUE SHIELD | |
| 1531413 | ID | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Casey Jon Leavitt?
The Casey Jon Leavitt has been issued the NPI (National Provider Identifier) 1952495491 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Casey Jon Leavitt's physical address?
The Casey Jon Leavitt is physically located at 333 W. Cedar, in the city of Pocatello, ID, with the postal code 832015045.
What is Casey Jon Leavitt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Casey Jon Leavitt is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Casey Jon Leavitt receive its 1952495491 assignment from the Centers for Medicare & Medicaid Services?
The Casey Jon Leavitt was assigned its 1952495491 by the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the details related to Casey Jon Leavitt most recently updated or revised?
The information pertaining to Casey Jon Leavitt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.