Individual
MATTHEW CLIFFORD LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5240 N TOWNE CENTRE DR STE 201, OZARK, MO 65721-9075
(417) 581-0000
Mailing address
5154 S CLOVERDALE LN, BATTLEFIELD, MO 65619-9688
(208) 702-3026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025023423
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2025
Last updated
07/08/2025
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