Provider Demographics
NPI:1881658169
Name:LEBER, CLAUDIA KAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:KAY
Last Name:LEBER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8922 N 114TH LANE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345
Mailing Address - Country:US
Mailing Address - Phone:602-799-2375
Mailing Address - Fax:
Practice Address - Street 1:4502 W INDIAN SCHOOL RD
Practice Address - Street 2:STE A2
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85031
Practice Address - Country:US
Practice Address - Phone:623-873-2131
Practice Address - Fax:623-873-2723
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3137122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ3003137OtherDELTA DENTAL OF AZ
AZAZ0474850OtherBLUE CROSS BLUE SHIELD
AZ085755OtherAHCCCS
AZ085755OtherAHCCCS