Individual provider · Type 1 NPI

Tyler Leavitt, DDS

Dentist · O Fallon, MO

NPI number 1902307911 Active

Practice location

3009 Highway K
O Fallon, MO 63368-8696

Call (636) 379-7552 Map

Mailing address

1200 E Linden Ave
St. Louis, MO 63117-1315

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2018002229 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1902307911

Tyler Leavitt, DDS's National Provider Identifier is 1902307911, issued on Feb 25, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in O Fallon, MO. The record was last updated on Feb 25, 2018.