William Leon DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12001 Issued in MN

Legal business name

WILLIAM LEON DDS PA

Practice address

6209 42ND Ave N
Crystal, MN 55422-1603

Phone

(763) 537-7057

Fax

(763) 535-5038

NPI assigned

Mar 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Leon, DDSNPI 1366514440

Title

Ceo

Phone

(763) 537-7057

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Leon, D.D.S.

  • Dentist
  • Crystal, MN
  • NPI 1366514440
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1043480841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 42ND AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554221603",
            "telephone_number": "763-537-7057",
            "fax_number": "763-535-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 42ND AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554221603",
            "telephone_number": "763-537-7057",
            "fax_number": "763-535-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM LEON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-537-7057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Crystal, MN
• Providers in Crystal, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.