D. BLAINE LEEDS DBLDDS PA NPI 1013153592

NPI Information

D. BLAINE LEEDS DBLDDS PA is a general practice dentist in Clarksville, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. D. BLAINE LEEDS DBLDDS PA NPI is 1013153592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1101 E POPLAR ST
CLARKSVILLE, AR
ZIP 72830-420
Phone: (479) 754-3357
Fax: (479) 754-0167

The provider's authorized official is Danny Blaine Leeds .
The authorized official title is Dentist and has the following contact phone number (479) 754-3357.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 1/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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