Jeffery Karl Leibforth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15471 Issued in OH

Practice address

345 Park Ave
Hamilton, OH 45013

Phone

(513) 896-7979

Fax

(513) 896-1081

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Dental Care of Hamilton Oh Inc

  • General Practice Dentistry
  • Hamilton, OH
  • NPI 1639229735
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740333467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PARK AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-896-7979",
            "fax_number": "513-896-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PARK AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-896-7979",
            "fax_number": "513-896-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBFORTH",
        "first_name": "JEFFERY",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Lee, EDD
• Jessica Lee, MA, CCC-SLP
• Mandi Kianne Lee, MS, CDCA, ATC
• Melinda Anne Lee
• Tammi Kay Lee
• Molly Leibrook, LSW
• Kathryn Leighton
• Jeffrey Rogers Leipzig, M.D.
• Beth Ann Lemke, LCDC II, SWA
• Tracy Jane Lenavitt, LPCC

• General Practice Dentistry in Hamilton, OH
• Providers in Hamilton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.