Dr. Leah Stetzel
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Wayne, IN. Individual provider (NPI-1).
Details
- NPI
- 1962019984
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leah Stetzel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2020
- Certification date
- Jul 15, 2025
- Last updated
- Jul 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 12013400A | IN | Yes |
| 122300000X | Dentist | RES.004246 | OH | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 30.027896 | OH | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | D011588 | AZ |
Practice location
223 E Tillman RdFort Wayne, IN 46816-1079
Phone 260-447-2568
Mailing address
223 E Tillman RdFort Wayne, IN 46816-1079
Phone 260-447-2568
Other practice locations
Van Wert, OH 45891-2488
Phone 260-447-2568
Paulding, OH 45879-1107
Phone 260-447-2568
Fort Wayne, IN 46804-1651
Phone 260-447-2568
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All 24 Orthodontics and Dentofacial Orthopedics Dentistry providers in Fort Wayne · All 11,302 providers in Fort Wayne
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