Michael L. Leingang, III, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012285 Issued in GA

Legal business name

MICHAEL L. LEINGANG, III, DDS, PC

Practice address

3823 Roswell Rd
Suite 201
Marietta, GA 30062-6278

Phone

(770) 977-1892

Fax

(678) 560-5261

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Louis Leingang III, D.D.S.

Title

President

Phone

(770) 977-1892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154530293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 ROSWELL RD",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626278",
            "telephone_number": "770-977-1892",
            "fax_number": "678-560-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 ROSWELL RD",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626278",
            "telephone_number": "770-977-1892",
            "fax_number": "678-560-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. LEINGANG, III, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEINGANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-977-1892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.