Organization
JOSHUA M. LEAVITT D.M.D., M.S. LLC
Active
Other names
PEDIATRIC DENTISTRY OF CENTRAL OHIO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA LEAVITT DMD MS (PRESIDENT/OWNER)
(702) 325-5268
Entity
Organization
Contact information
Practice address
605 DILEY RD., PICKERINGTON, OH 43147-8399
(614) 863-8500
(614) 863-0874
Mailing address
605 DILEY RD., PICKERINGTON, OH 43147-8399
(614) 863-8500
(614) 863-0874
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30-024355
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121571
—
OH
Enumeration date
07/12/2016
Last updated
05/20/2024
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