Dr. Katie Ann Leidhold, DMD
Dentist, General Practice in Mesa, AZ. Individual provider (NPI-1).
NPI number1619863263
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1619863263
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katie Ann Leidhold
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D012549 | AZ | Yes |
Practice location
1801 E Southern Ave Ste 101Mesa, AZ 85204-5258
Phone 480-892-9000 · Fax 480-779-1312
Mailing address
935 E Garnet AveMesa, AZ 85204-5808
Phone 774-328-1935
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