Kristin Nicole Leis in Bronx - Oral And Maxillofacial Surgery
Kristin Nicole Leis - NPI 1750330916
Kristin Nicole Leis is a Oral And Maxillofacial Surgery in Bronx, New York. Kristin Nicole Leis practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kristin Nicole Leis is 1750330916. The last update date is 2009-03-03.
Kristin Nicole Leis's current location address is 1575 Blondell Ave, Bronx, New York. You can contact this provider via phone number 7184058190. The mailing address for Kristin Nicole Leis is 1575 Blondell Ave, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Nicole Leis |
|---|---|
| Address | 1575 Blondell Ave, Bronx, New York |
| Phone Number | 7184058190 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1750330916 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2009-03-03 |
Provider Mailing Address Detail
| Address | 1575 Blondell Ave |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104612660 |
| Phone Number | 7184058190 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 49353 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique identifier code issued to Kristin Nicole Leis by the Centers for Medicare & Medicaid Services?
The Kristin Nicole Leis has been assigned the NPI (National Provider Identifier) 1750330916. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kristin Nicole Leis located?
The Kristin Nicole Leis is located at 1575 Blondell Ave, Bronx, NY 104612660.
What is Kristin Nicole Leis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristin Nicole Leis's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750330916 to Kristin Nicole Leis?
The Centers for Medicare & Medicaid Services assigned the 1750330916 to Kristin Nicole Leis on 2006-05-08.
When was the Kristin Nicole Leis's information last updated?
The Kristin Nicole Leis's information was last updated on 2009-03-03.
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