Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811237167 Individual Practitioner Female Practitioner

Dr. Leah Liddle Blitz , DMD

Dentist - General Practice • Lisle, NY

Professional Overview & Biography Verified Profile Summary

Dr. Leah Blitz, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lisle, NY. Practice services are available at 3136 U.S. ROUTE 11 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3136 U.s. Route 11

Lisle, NY 13797

Telephone 6076924987
Associated Practice Facility / Clinic
🏢 Leah L. Blitz Dmd, Pllc Facility NPI 1710762885

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lisle, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Lisle, NY (8411 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 056790

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

1 Associated Practitioners
Dr. Mary Ann Carissimo , DDS

Dentist - General Practice

NPI 1497835250

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 22, 2023

Registered at 3136 U.S. ROUTE 11, LISLE, NY 13797 (Tel: 6073411221)

📍
Updated Business Mailing Address September 22, 2023

Registered at 3136 U.S. ROUTE 11, LISLE, NY 13797 (Tel: 6073411221)

NPI Profile Active August 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2013

Registered at 55 NORTH MAIN STREET, BAINBRIDGE, NY 13733 (Tel: 6079672051)

📍
Updated Business Mailing Address August 15, 2013

Registered at 55 NORTH MAIN STREET, BAINBRIDGE, NY 13733 (Tel: 6079672051)

👤
Provider Name / Credentials Updated August 15, 2013

Recorded as LEAH BLITZ, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2013

Dentist (License #056790 in NY)

🟢
Initial NPI Registration & Enumeration February 24, 2013

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: 1811237167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2013
Last Update: October 23, 2023
Sole Proprietor: No

Mailing Address

3136 U.s. Route 11

Lisle, NY 13797

Phone: 6073411221

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.