Taylor Rose Leos, DDS is a
Student In An Organized Health Care Education/training Program based in Minneapolis, Minnesota. Taylor Rose Leos is licensed to practice in Minnesota (license number R886) and her current practice location is
515 Delaware St Se, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(512) 663-5955.
NPI number for Taylor Rose Leos is 1841992989 and her current mailing address is 515 Delaware St Se, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841992989.
Healthcare Provider's Profile
| Full Name | Taylor Rose Leos |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 515 Delaware St Se, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841992989
- Provider Enumeration Date: 03/21/2023
- Last Update Date: 10/03/2024
Medical Identifiers
Medical identifiers for Taylor Rose Leos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841992989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DDS-10095 (Iowa) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | R886 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taylor Rose Leos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Taylor Rose Leos, DDS
515 Delaware St Se,
Minneapolis, MN 55455-0357
Ph: (512) 663-5955 | Taylor Rose Leos, DDS
515 Delaware St Se,
Minneapolis, MN 55455-0357
Ph: (512) 663-5955 |
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