DR. Jacob Grant Leavitt, DMD

NPI #1568191922 in Lewiston, Idaho

Provider Information

NPI Number
1568191922
Entity Type
Individual
Name
DR. Jacob Grant Leavitt, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jun 9, 2022
Last Updated
Jun 9, 2022

Practice Location

Address
3326 4TH ST STE 1
State
Idaho
ZIP Code
83501-4455
Phone
(208) 746-2646

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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