Provider Demographics
NPI:1447543939
Name:LEIBOWITZ, AIMEE M (DDS)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:M
Last Name:LEIBOWITZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 E BROAD ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2279
Mailing Address - Country:US
Mailing Address - Phone:908-654-4949
Mailing Address - Fax:
Practice Address - Street 1:522 E BROAD ST STE 3
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2279
Practice Address - Country:US
Practice Address - Phone:908-654-4949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI025380001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty