Organization
LEAVITT FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY J. LEAVITT DDS PA (DR)
(208) 233-6900
Entity
Organization
Contact information
Practice address
333 W CEDAR ST, POCATELLO, ID 83201
(208) 233-6900
Mailing address
333 W CEDAR ST, POCATELLO, ID 83201-5045
(208) 233-6900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1531413
UNITED CONCORDIA
ID
Enumeration date
06/09/2008
Last updated
06/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us