DR. LEONORDA M DYSART DMD NPI 1255483442

NPI Information

DR. Leonorda M Dysart, DMD is a general practice dentist in Birmingham, AL. 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. DR. Leonorda M Dysart, DMD NPI is 1255483442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2152 46TH PLACE ENSLEY
BIRMINGHAM, AL
ZIP 35208-602
Phone: (205) 788-8889

The NPI 1255483442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/17/2007 and was last updated on 7/8/2007.

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:

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