Allen, Leslie

Allen, Leslie is an individual health care provider with primary practice located at 3931 Highway 78 W Ste A, Snellville GA 30039-3907. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Allen, Leslie can be contacted via phone (770) 985-1050.

Contact Information

Primary practice address
3931 Highway 78 W Ste A Snellville GA 30039-3907
Phone: (770) 985-1050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30019014 Ohio
Dental Providers / Dentist 122300000X DN012334 Georgia

Profile Details

NPI number 1952455073
LBN Legal business name Allen, Leslie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Sep 27th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952455073 NPPES
Ohio MEDICAID 269-3732

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