Brian K. Leach DDS LLC

General Practice Dentistry · Shell Knob, MO

Organization Active NPI

NPI number 1629468103

Practice location

25376 State Highway 39
Suite 201
Shell Knob, MO 65747-7343

Phone: (417) 858-6527

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NPI record

NPI: 1629468103
Entity type: Organization (Type 2)
Enumeration date: February 4, 2015
Last updated: February 4, 2015
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	2009011494	MO

Mailing address

PO Box 226
Shell Knob, MO 65747-0226

Phone: (417) 858-6527

Authorized official

Name: Dr. Brian K. Leach, D.D.S.
Title: Owner/Dentist
Phone: (417) 858-6527

Other names

Shell Knob Dental Center

About Brian K. Leach DDS LLC

Brian K. Leach DDS LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343. The NPI number 1629468103 was assigned on February 4, 2015 and the record was last updated on February 4, 2015.

Brian K. Leach DDS LLC lists a license in the registry: #2009011494 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Brian K. Leach, D.D.S., Owner/Dentist.

Frequently asked questions

What is the NPI number of Brian K. Leach DDS LLC?

The NPI number is 1629468103.

What is the phone number of Brian K. Leach DDS LLC?

The phone number listed for the practice location is (417) 858-6527.

Where is Brian K. Leach DDS LLC located?

25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343.

What is the taxonomy code for Brian K. Leach DDS LLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

Other General Practice Dentistry providers in Shell Knob

Brian K. Leach, D.D.S.25376 State Highway 39
Brian K. Leach, D.D.S.25376 State Highway 39

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