Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619863263 Individual Practitioner Female Practitioner

Dr. Katie Ann Leidhold , DMD

Dentist - General Practice • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Katie Leidhold, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mesa, AZ. Practice services are available at 1801 E SOUTHERN AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1801 E Southern Ave Ste 101

Mesa, AZ 852045258

Telephone 4808929000
Fax 4807791312
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
228 Specialists

Practicing in Mesa, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D012549

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1003541541

Doctor of Dental Surgery

Dr. Jonathan Sanders , DMD

Dentist - General Practice

NPI 1720692502

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2025

Registered at 1801 E SOUTHERN AVE STE 101, MESA, AZ 852045258 (Tel: 4808929000)

📍
Updated Business Mailing Address June 17, 2025

Registered at 935 E GARNET AVE, MESA, AZ 852045808 (Tel: 7743281935)

👤
Provider Name / Credentials Updated June 17, 2025

Recorded as KATIE LEIDHOLD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2025

Dentist (License #D012549 in AZ)

🟢
Initial NPI Registration & Enumeration June 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619863263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2025
Last Update: June 17, 2025
Sole Proprietor: Yes

Mailing Address

935 E Garnet Ave

Mesa, AZ 852045808

Phone: 7743281935

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.