Ann Marie Dolan Leal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401411366 Issued in VA

Practice address

6699 Springfield Center Dr
NVCC - Mec - Dental Clinic
Springfield, VA 22150-1913

Phone

(703) 822-6655

Fax

(703) 822-6610

NPI assigned

Jun 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1124287305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 SPRINGFIELD CENTER DR",
            "address_2": "NVCC - MEC - DENTAL CLINIC",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501913",
            "telephone_number": "703-822-6655",
            "fax_number": "703-822-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 SPRINGFIELD CENTER DR",
            "address_2": "NVCC - MEC - DENTAL CLINIC",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501913",
            "telephone_number": "703-822-6655",
            "fax_number": "703-822-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "ANN MARIE",
        "middle_name": "DOLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Randolph Lazear, D.D.S.
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• Leading Life Services, LLC.
• Scott H Leaf, D.D.S.
• Herve Leboeuf III, LIFE COACH
• Scot Lebolt, M.D,
• Danielle I Ledesma
• Mechelle Ledwith, FNP-BC
• Dezera Lee

• Dentist in Springfield, VA
• Providers in Springfield, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.