Provider Demographics
NPI:1003121252
Name:CAPOZZI, LEAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:CAPOZZI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:COLUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:403 MAIN ST
Mailing Address - Street 2:SUITE 416
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-2109
Mailing Address - Country:US
Mailing Address - Phone:716-854-7811
Mailing Address - Fax:716-332-0119
Practice Address - Street 1:403 MAIN ST
Practice Address - Street 2:SUITE 416
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-2109
Practice Address - Country:US
Practice Address - Phone:716-854-7811
Practice Address - Fax:716-332-0119
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056682122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist