Individual
LEAH RENEE DILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
100 N. BROADWAY STREET, OAKTOWN, IN 47561-7000
(812) 745-4151
(812) 745-4152
Mailing address
PO BOX 269, 100 N. BROADWAY STREET, OAKTOWN, IN 47561-0269
(812) 745-4151
(812) 745-4152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010355A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200357310A
—
IN
05
—
200418020
—
IN
Enumeration date
06/03/2006
Last updated
03/08/2024
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