MEDICARE: DR. CURRY H. LEAVITT DMD,MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	6022	NV

General Provider Information

NPI Number	:	1518285808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURRY H. LEAVITT DMD,MS

Provider Business Mailing Address
First Line	:	7475 W SAHARA AVE
Second Line	:	101
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2867
Country	:	US
Telephone Number	:	484-868-0517
Fax Number	:

Provider Business Practice Location Address
First Line	:	7475 W SAHARA AVE
Second Line	:	101
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2867
Country	:	US
Telephone Number	:	484-868-0517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	05/11/2010

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