Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leavitt Orthodontics

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1821866682

Leavitt Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in Pocatello, Idaho. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1455 Bench Rd Ste A
Pocatello, ID 83201-5084
Phone: (208) 237-3330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1821866682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Leavitt — Owner/Dentist · (208) 240-5219
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address1455 Bench Rd Ste A, Pocatello, ID 83201-5084

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