Maurry Leas is a Periodontics in Philadelphia, Pennsylvania. Maurry Leas practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Maurry Leas is 1104963651. The last update date is 2007-07-08.
Maurry Leas's current location address is 1818 Market Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155672666. The mailing address for Maurry Leas is 1818 Market Street, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maurry Leas |
|---|---|
| Address | 1818 Market Street, Philadelphia, Pennsylvania |
| Phone Number | 2155672666 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104963651 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1818 Market Street |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19103 |
| Phone Number | 2155672666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DS02736L |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Maurry Leas's unique identification number?
The Maurry Leas has been assigned the NPI (National Provider Identifier) Number 1104963651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Maurry Leas is physically located?
The Maurry Leas is situated at the following address: 1818 Market Street, Philadelphia, PA 19103.
What is the Maurry Leas's area of specialization and corresponding taxonomy classification?
The Maurry Leas's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104963651 to Maurry Leas?
The Centers for Medicare & Medicaid Services originally issued the 1104963651 to Maurry Leas on 2007-01-31.
As of what date were the details related to Maurry Leas most recently updated or revised?
The information pertaining to Maurry Leas, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.