Leisha V. Everett,DDS,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5108 Issued in OK

Legal business name

LEISHA V. EVERETT,DDS,PC

Practice address

1100 N Mustang Rd
Mustang, OK 73064-7201

Phone

(405) 376-6565

Fax

(405) 376-2443

NPI assigned

Jul 17, 2009

Last updated

Jul 17, 2009By 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

Dr. Leisha Von Everett, DDS

Title

Owner

Phone

(405) 376-6565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1255561791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647201",
            "telephone_number": "405-376-6565",
            "fax_number": "405-376-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647201",
            "telephone_number": "405-376-6565",
            "fax_number": "405-376-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISHA V. EVERETT,DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "LEISHA",
        "authorized_official_middle_name": "VON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-376-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Mustang, OK
• Providers in Mustang, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.