Leaf Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

27274 Issued in TX

Legal business name

LEAF DENTISTRY LLC

Practice address

800 S Center St
Grand Prairie, TX 75051-1815

Phone

(972) 264-1662

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Christopher Blake Richardson, DDS

Title

Dentist

Phone

(972) 342-5371

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leaf Family Dentistry Doing business as

Practitioners 3

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

• Thomas William Kretchun, DDS

  • Dentist
  • Grand Prairie, TX
  • NPI 1821107509
  NPD (past)
• Sanghun Sean Lee, DMD

  • Dentist
  • Grand Prairie, TX
  • NPI 1366713026
  NPD (past)
• Hyunsik Sung, D.M.D

  • General Practice Dentistry
  • Grand Prairie, TX
  • NPI 1376973180
  NPD (past)

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1104215425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 MARSH LN APT 921",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750018060",
            "telephone_number": "972-342-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTER ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511815",
            "telephone_number": "972-264-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAF DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-342-5371",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902184476",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leaf Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hoang Le, DDS
• Joey Le, DMD
• Khanh Quoc Le, PHARMD
• Lan Kristie Thien Le, M.D.
• Nguyen Le, DMD
• Alexia Rae Leal
• Irenee Abonegi Lebuabanga
• Anna Lee
• Dealvia Lee
• Dwight Lee

• Dentist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.