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NPI Code Detail

MEDICARE: DR. MICHAEL J LEAHY D.D.S.

MEDICARE:  DR. MICHAEL J LEAHY  D.D.S.
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
11223G0001XGeneral Practice Dentistry18982OH

General Provider Information

NPI Number : 1831303932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J LEAHY D.D.S.
Provider Business Mailing Address
First Line : 160 NORTHWOODS BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-4400
Country : US
Telephone Number : 614-848-4900
Fax Number : 614-848-4920
Provider Business Practice Location Address
First Line : 160 NORTHWOODS BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-4400
Country : US
Telephone Number : 614-848-4900
Fax Number : 614-848-4920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL J LEAHY D.D.S.” Practice Location

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