HANNAH LEEZER DDS, LLC
NPI 1093695199
Dentist - General Practice in Indianapolis, IN

Q: What is Hannah Leezer Dds, LLC's NPI number?

The NPI number for Hannah Leezer Dds, LLC is 1093695199. It was assigned to this organization in the NPPES registry on September 8, 2025. The provider is doing business as Evergreen Dental.

Q: What is Hannah Leezer Dds, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 08, 2025

4715 STATESMEN DR STE G, INDIANAPOLIS, IN 46250(317) 213-7439 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hannah Leezer Dds, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HANNAH LEEZER DDS, LLC (NPI 1093695199), doing business as Evergreen Dental, is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since September 2025. The organization lists Hannah Elizabeth Groh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093695199

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHANNAH LEEZER DDS, LLC

Location Address4715 STATESMEN DR STE GIndianapolis, IN 46250-1997

Mailing Address1515 Starcross Ln Apt 105Carmel, IN 46280-3018 · (317) 213-7439

Phone(317) 213-7439

Organization SubpartNo

Authorized OfficialHannah Elizabeth GrohCeo · (317) 213-7439

Enumeration DateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1093695199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

4715 STATESMEN DR STE G, Indianapolis, IN 46250

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Other Names 1

Doing Business AsEvergreen Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hannah Leezer Dds, LLC's NPI number?

The NPI number for Hannah Leezer Dds, LLC is 1093695199. It was assigned to this organization in the NPPES registry on September 8, 2025. The provider is doing business as Evergreen Dental.

Where is Hannah Leezer Dds, LLC located?

Hannah Leezer Dds, LLC is located at 4715 Statesmen Dr Ste G, Indianapolis, IN 46250. The listed phone number is (317) 213-7439.

What is Hannah Leezer Dds, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Hannah Leezer Dds, LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.