NPI age
17 years
Enumerated 2008-06-09
● Active Type 2 · Organization
Leavitt Family And Cosmetic Dentistry
Leavitt Family And Cosmetic Dentistry is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Leavitt
Dr
Last NPPES update
2008-06-25
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
333 W Cedar St
Pocatello, ID 83201
Mailing address
333 W Cedar St
Pocatello, ID 832015045
Authorized official
Casey J. Leavitt, DDS PA
Dr
📞 2082336900
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Kelli Fries-Geslin, APRN-CNP Nurse Practitioner NPI 1518415942
- Kyle Siemen, DMD Dentist NPI 1952311078
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1531413 | UNITED CONCORDIA |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1099 Dentist providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.