Zide, Leslie

Zide, Leslie is an individual health care provider with primary practice located at 1049 Main St Caring Health Center, Inc, Springfield MA 01103-2114. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Zide, Leslie can be contacted via phone (413) 739-1100.

Contact Information

Primary practice address
1049 Main St Caring Health Center, Inc Springfield MA 01103-2114
Fax: (413) 304-4670
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14059 Massachusetts

Profile Details

NPI number 1154306934
LBN Legal business name Zide, Leslie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 1st, 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 1154306934 NPPES
Massachusetts MEDICAID 110028120

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