Leslie Edward Broline, DDS MS

Periodontics · Austin, TX

Individual Active NPI

NPI number 1154427029

Practice location

3508 Far West Blvd
Ste 330
Austin, TX 78731-3041
Phone
(512) 343-9488
Fax
(512) 343-1062

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NPI record

NPI
1154427029
Entity type
Individual (Type 1)
Enumeration date
September 16, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 9766 TX

About Leslie Broline

Leslie Edward Broline, DDS MS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 3508 Far West Blvd, Ste 330, Austin, TX 78731-3041. The NPI number 1154427029 was assigned on September 16, 2006 and the record was last updated on July 8, 2007.

Leslie Broline lists a license in the registry: #9766 (TX) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Leslie Edward Broline, DDS MS?

The NPI number is 1154427029.

What is the phone number of Leslie Broline?

The phone number listed for the practice location is (512) 343-9488.

Where is Leslie Broline located?

3508 Far West Blvd, Ste 330, Austin, TX 78731-3041.

What is the taxonomy code for Leslie Broline?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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