Tyler Leavitt, DDS

Dentist · O Fallon, MO

Individual Active NPI

NPI number 1902307911

Practice location

3009 Highway K
O Fallon, MO 63368-8696
Phone
(636) 379-7552

Open in Google Maps

NPI record

NPI
1902307911
Entity type
Individual (Type 1)
Enumeration date
February 25, 2018
Last updated
February 25, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2018002229 MO

Mailing address

1200 E Linden Ave
Saint Louis, MO 63117-1315

About Dr. Leavitt

Tyler Leavitt, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3009 Highway K, O Fallon, MO 63368-8696. The NPI number 1902307911 was assigned on February 25, 2018 and the record was last updated on February 25, 2018.

Dr. Leavitt lists a license in the registry: #2018002229 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyler Leavitt, DDS?

The NPI number is 1902307911.

What is the phone number of Dr. Leavitt?

The phone number listed for the practice location is (636) 379-7552.

Where is Dr. Leavitt located?

3009 Highway K, O Fallon, MO 63368-8696.

What is the taxonomy code for Dr. Leavitt?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in O Fallon

All Dentist providers in O Fallon, MO →