Gregory Allen Leisle in Fresno - Dentist
Gregory Allen Leisle - NPI 1295935393
Gregory Allen Leisle is a Dentist in Fresno, California. Gregory Allen Leisle practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregory Allen Leisle is 1295935393. The last update date is 2018-09-25.
Gregory Allen Leisle's current location address is 5084 N. Fruit, Su. #101, Fresno, California. You can contact this provider via phone number 5599608626 and fax number 5592260947. The mailing address for Gregory Allen Leisle is 5084 N. Fruit, Su. #101, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Allen Leisle |
|---|---|
| Address | 5084 N. Fruit, Su. #101, Fresno, California |
| Phone Number | 5599608626 |
| Fax Number | 5592260947 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1295935393 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2018-09-25 |
Provider Mailing Address Detail
| Address | 5084 N. Fruit, Su. #101 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 93711 |
| Phone Number | 5599608626 |
| Fax Number | 5592260947 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 24823 |
|
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 |
|
Post Comment/ Review Below
What is the Gregory Allen Leisle's 1295935393?
The Gregory Allen Leisle's NPI (National Provider Identifier) Number is 1295935393. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gregory Allen Leisle's facilities are situated?
The facilities of Gregory Allen Leisle are physically located at the following address: 5084 N. Fruit, Su. #101, Fresno, CA, 93711.
What is the Gregory Allen Leisle's area of specialization and corresponding taxonomy classification?
The Gregory Allen Leisle's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295935393 to Gregory Allen Leisle?
The Centers for Medicare & Medicaid Services originally issued the 1295935393 to Gregory Allen Leisle on 2007-07-18.
As of what date were the details pertaining to Gregory Allen Leisle last refreshed?
The information related to the Gregory Allen Leisle, including its address, specialty, and other relevant details, was last updated on 2018-09-25.