Leach, Bobby Dale
Leach, Bobby Dale is an individual health care provider with primary practice located at 277 E Railroad Ave Ste B, Denham Springs LA 70726-3407. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leach, Bobby Dale can be contacted via phone (225) 791-0777.Contact Information
Primary practice address
277 E Railroad Ave Ste B
Denham Springs LA 70726-3407
Phone: (225) 791-0777
Fax: (225) 791-0755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2838 | Louisiana |
Profile Details
| NPI number | 1205831187 |
|---|---|
| LBN Legal business name | Leach, Bobby Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205831187 | NPPES |
| Louisiana | MEDICAID | 828380 |
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