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

Dr. Jacob Grant Leavitt, DMD

Individual provider General Practice Dentistry · NPI 1568191922

Dr. Jacob Grant Leavitt, DMD is a General Practice Dentistry in Lewiston, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3326 4th St Ste 1
Lewiston, ID 83501-4455
Phone: (208) 746-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-5418 (ID)

Record details

NPI number1568191922
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

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