| Leisge Dental, Pllc | |
|
127 Highway 1084 Baxter KY 40806-8446 | |
| (606) 621-0640 | |
| Not Available |
| Full Name | Leisge Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 127 Highway 1084, Baxter, Kentucky |
| Authorized Official Name and Position | Connor Leisge (OWNER/DENTIST) |
| Authorized Official Contact | 6067335240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leisge Dental, Pllc 127 Highway 1084 Baxter KY 40806-8446 Ph: (606) 621-0640 | Leisge Dental, Pllc 127 Highway 1084 Baxter KY 40806-8446 Ph: (606) 621-0640 |
| NPI Number | 1427827831 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427827831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |