| Dr Walter L Leeks Iii, DMD | |
|
4376 Lawrenceville Rd, Loganville, GA 30052 | |
| (770) 466-0363 | |
| Not Available |
| Full Name | Dr Walter L Leeks Iii |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 4376 Lawrenceville Rd, Loganville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801006754 | NPI | - | NPPES |
| 19029327 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 13122 (Georgia) | Primary |
| Entity Name | Medcura Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417011487 PECOS PAC ID: 2961443643 Enrollment ID: O20120509000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter L Leeks Iii, DMD 4376 Lawrenceville Rd, Loganville, GA 30052 Ph: (770) 466-0363 | Dr Walter L Leeks Iii, DMD 4376 Lawrenceville Rd, Loganville, GA 30052 Ph: (770) 466-0363 |
Sabitha Chacko, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4325 Atlanta Hwy #9, Loganville, GA 30052 Phone: 770-466-0918 | |
Dr. Stewart Helton, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 3238 Krisam Creek Dr, Loganville, GA 30052 Phone: 770-466-0474 | |
Dr. George Thurman Mitchell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3973 Atlanta Hwy, Suite 600, Loganville, GA 30052 Phone: 770-466-8040 Fax: 770-466-8240 | |
Eun A Hur, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4799 Atlanta Hwy Ste 500, Loganville, GA 30052 Phone: 404-720-6097 | |
Dr. Shabana Qayyum Erattuparambil, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2715 Loganville Hwy, #340-3d, Loganville, GA 30052 Phone: 678-956-1381 | |
Dorian Grace Longshore, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4799 Atlanta Hwy # 500, Loganville, GA 30052 Phone: 404-609-4661 | |
Dr. Ryan Jarratt Price, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3805 Harrison Rd, Loganville, GA 30052 Phone: 770-554-0848 Fax: 770-554-4569 |