Elliot Ivan Leon is a Dentist in Florissant, Missouri. Elliot Ivan Leon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Elliot Ivan Leon is 1063594331. The last update date is 2008-07-10.
Elliot Ivan Leon's current location address is 1005 Dunn Rd, Florissant, Missouri. You can contact this provider via phone number 3148389454 and fax number 3148389414. The mailing address for Elliot Ivan Leon is 1005 Dunn Rd, Florissant, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elliot Ivan Leon |
|---|---|
| Address | 1005 Dunn Rd, Florissant, Missouri |
| Phone Number | 3148389454 |
| Fax Number | 3148389414 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063594331 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 1005 Dunn Rd |
|---|---|
| City | Florissant |
| State | Missouri (MO) |
| Post Code | 630318205 |
| Phone Number | 3148389454 |
| Fax Number | 3148389414 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12522 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Elliot Ivan Leon's unique identification number?
The Elliot Ivan Leon has been assigned the NPI (National Provider Identifier) Number 1063594331 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Elliot Ivan Leon is geographically located?
The Elliot Ivan Leon is physically situated at the following location: 1005 Dunn Rd, Florissant, MO, 630318205.
What is Elliot Ivan Leon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elliot Ivan Leon's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063594331 to Elliot Ivan Leon?
The Centers for Medicare & Medicaid Services originally issued the 1063594331 to Elliot Ivan Leon on 2006-10-19.
As of what date were the details pertaining to Elliot Ivan Leon last refreshed?
The information related to the Elliot Ivan Leon, including its address, specialty, and other relevant details, was last updated on 2008-07-10.
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