Provider Demographics
NPI:1770037046
Name:BUTLER, LEAH (DDS)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LEAH
Other - Middle Name:M
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:16000 PEARL RD STE 217
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6082
Mailing Address - Country:US
Mailing Address - Phone:440-238-4456
Mailing Address - Fax:440-783-1782
Practice Address - Street 1:16000 PEARL RD STE 217
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6082
Practice Address - Country:US
Practice Address - Phone:440-238-4456
Practice Address - Fax:440-783-1782
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.248251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice