DR. LEONARD PACKTOR DDS NPI 1790747061

NPI Information

  • NPI: 1790747061
  • Provider Name: DR. LEONARD PACKTOR, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 9410A WILLEO RD
    ROSWELL, GA
    ZIP 30075
  • Phone: (770) 993-2657

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NPI Details

DR. Leonard Packtor, DDS is a general practice dentist in Roswell, GA. 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. Leonard Packtor, DDS NPI is 1790747061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9410A WILLEO RD
ROSWELL, GA
ZIP 30075-717
Phone: (770) 993-2657
Fax: (770) 998-2512

The enumeration date for this NPI number is 4/3/2006 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice0009462GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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