Gerald Clark Leake in Colorado Springs - General Practice

Gerald Clark Leake - NPI 1376527820

Gerald Clark Leake is a General Practice in Colorado Springs, Colorado. Gerald Clark Leake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gerald Clark Leake is 1376527820. The last update date is 2017-04-04.

Gerald Clark Leake's current location address is 3205 N Academy Blvd, Colorado Springs, Colorado. You can contact this provider via phone number 7196325700. The mailing address for Gerald Clark Leake is 3205 N Academy Blvd, Colorado Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald Clark Leake
Address 3205 N Academy Blvd, Colorado Springs, Colorado
Phone Number 7196325700
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1376527820
Provider Enumeration Date 2005-11-29
Last Updated Date 2017-04-04

Provider Mailing Address Detail

Address 3205 N Academy Blvd
City Colorado Springs
State Colorado (CO)
Post Code 809175147
Phone Number 7196325700
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12008918A
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
68121725 CO --

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FAQs about Gerald Clark Leake

What is the Gerald Clark Leake's 1376527820?

The Gerald Clark Leake's NPI (National Provider Identifier) Number is 1376527820. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Gerald Clark Leake?

The Gerald Clark Leake is situated at 3205 N Academy Blvd, in the city of Colorado Springs, state of CO, with the zip code 809175147.

What is Gerald Clark Leake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gerald Clark Leake is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did Gerald Clark Leake receive its 1376527820 assignment?

The Gerald Clark Leake was assigned its 1376527820 on 2005-11-29, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Gerald Clark Leake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gerald Clark Leake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-04.

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