Organization
HANNAH LEEZER DDS, LLC
Active
Other names
Evergreen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNAH ELIZABETH GROH DDS (CEO)
(317) 213-7439
Entity
Organization
Contact information
Practice address
4715 STATESMEN DR STE G, INDIANAPOLIS, IN 46250-1997
(317) 213-7439
Mailing address
1515 STARCROSS LN APT 105, CARMEL, IN 46280-3018
(317) 213-7439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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