OrganizationActive
Leah Fax DDS PLLC
NPI 1073451266 · Dental Clinic/Center · Brookfield, IL
Provider details
- NPI number
- 1073451266
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leah Fax, General Dentist(608) 438-9468
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3739 Grand Blvd
Brookfield, IL 60513-1623
Phone: (608) 438-9468
Approximate (ZIP-level) locationGet directions
Mailing address
735 N Catherine Ave
La Grange Park, IL 60526-1504
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.