Steven Raymond Leydsman
Individual provider Active NPI General Practice Dentistry · Ivins, UT
NPI 1154429397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154429397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 98-362684-9922 (UT)
- Practice address
- 272 E Center St
Suite #205
Ivins, UT 84738-6456 - Phone
- (435) 652-8111
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 98-362684-9922 | UT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 98-362684-9922 | UT | Yes |
Addresses
Primary practice location
272 E Center St
Suite #205
Ivins, UT 84738-6456
Mailing address
272 E Center St
Suite #205
Ivins, UT 84738-6456
Phone (435) 652-8111
Other providers in Ivins, UT
- Juniper Rejuvenation, LLC
- Christian Klena
- Bryant Kraus
- Benita Kruzel
- Philip Lamoreaux
- Antonella Lozano
- Raymond R. McPeek
- Metwest Inc
- Raymond Jack Middleton
- Scott Robert Moore
All providers in Ivins, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.