OrganizationActive
Leavitt Orthodontics
NPI 1821866682 · Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID
Provider details
- NPI number
- 1821866682
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Tyler Leavitt, Owner/Dentist
Mailing address
1455 Bench Rd Ste a
Pocatello, ID 83201-5084
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.