Walter L. Leeks III, DMD

General Practice Dentistry · Loganville, GA

Individual Active NPI

NPI number 1801006754

Practice location

4376 Lawrenceville Rd
Loganville, GA 30052
Phone
(770) 466-0363

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NPI record

NPI
1801006754
Entity type
Individual (Type 1)
Enumeration date
May 22, 2007
Last updated
December 13, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN 13122 GA

About Dr. Leeks

Walter L. Leeks III, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4376 Lawrenceville Rd, Loganville, GA 30052. The NPI number 1801006754 was assigned on May 22, 2007 and the record was last updated on December 13, 2016.

Dr. Leeks lists a license in the registry: #DN 13122 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Walter L. Leeks III, DMD?

The NPI number is 1801006754.

What is the phone number of Dr. Leeks?

The phone number listed for the practice location is (770) 466-0363.

Where is Dr. Leeks located?

4376 Lawrenceville Rd, Loganville, GA 30052.

What is the taxonomy code for Dr. Leeks?

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.

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