Leavitt, Andrew Henry

Leavitt, Andrew Henry is an individual health care provider with primary practice located at 9101 Bridgeport Way Sw Suite D, Lakewood WA 98499-2419. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Leavitt, Andrew Henry can be contacted via phone (253) 582-5196.

Contact Information

Primary practice address
9101 Bridgeport Way Sw Suite D Lakewood WA 98499-2419
Phone: (253) 582-5196
Fax: (253) 582-5197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DE00008478 Washington

Profile Details

NPI number 1518970912
LBN Legal business name Leavitt, Andrew Henry
Credentials D.D.S., M.S.D., P.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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