Individual provider · Type 1 NPI

Casey Jon Leavitt, DDS

General Practice Dentistry · Pocatello, ID

NPI number 1952495491 Active

About NPI 1952495491

Casey Jon Leavitt, DDS's National Provider Identifier is 1952495491, issued on Oct 2, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.