Leslie Arthur Jenkins, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS021219L Issued in PA

Practice address

3282 South Main St
Sandy Lake, PA 16145

Phone

(724) 376-2930

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124124912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "address_2": "3282 SOUTH MAIN ST",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "16145",
            "telephone_number": "724-376-2930",
            "fax_number": "724-376-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 SOUTH MAIN ST",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "16145",
            "telephone_number": "724-376-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LESLIE",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021219L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018774800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis J Charlton, DMD
• Krystal Jean Devault, LCSW, LISW
• Deborah L Gosnell, CRNP
• Jaida Heckman
• Phiphone Inthalangsy, DMD
• Bethany Sue Kocher
• Thomas J Kosick, D.M.D.
• Diane R Mentch, LPC
• Kishan Patel
• Primary Health Network

• General Practice Dentistry in Sandy Lake, PA
• Providers in Sandy Lake, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.