Leah Katherine Pope, DDS
Individual provider Active NPI Dentist · Lowell, IN
NPI 1013575356 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1013575356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12013299A (IN)
- Practice address
- 320 E Commercial Ave
Lowell, IN 46356-1780 - Phone
- (219) 690-8866
- NPI assigned
- Jun 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013299A | IN | MD | Dentist |
| 019.032324 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leah Thomas DDS LLC | Dentist | Current |
Accepting new patients |
Locations
320 E Commercial Ave
Lowell, IN 46356
Phone (219) 690-8866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.032324 | IL | |
| Dentist | 122300000X | 12013299A | IN | Yes |
Addresses
Primary practice location
320 E Commercial Ave
Lowell, IN 46356-1780
Mailing address
12372 Woodmar PL
Cedar Lake, IN 46303-8060
Phone (219) 614-6000
Other providers in Lowell, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.