Jenkins, Leslie Arthur

Jenkins, Leslie Arthur is an individual health care provider with primary practice located at 3282 South Main St , Sandy Lake PA 16145. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jenkins, Leslie Arthur can be contacted via phone (724) 376-2930.

Contact Information

Primary practice address
3282 South Main St Sandy Lake PA 16145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS021219L Pennsylvania

Profile Details

NPI number 1124124912
LBN Legal business name Jenkins, Leslie Arthur
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1124124912 NPPES
Pennsylvania MEDICAID 0018774800001

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