Nick Leone DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901013480 Issued in MI

Legal business name

NICK LEONE DDS PC

Practice address

28018 Harper Ave.
St. Clair Shores, MI 48081-1562

Phone

(586) 775-7750

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nick LeoneNPI 1922115633

Title

Corporate Officer

Phone

(586) 775-7750

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nick Leone, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Saint Clair Shores, MI
  • NPI 1922115633
  Authorized official Same address or phone

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1043568694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28018 HARPER AVE.",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28018 HARPER AVE.",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811562",
            "telephone_number": "586-775-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK LEONE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "586-775-7750"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.