Leslie Yuan Gazdeck DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LESLIE YUAN GAZDECK DDS PLLC

Practice address

1008 Big Oak CT
Knightdale, NC 27545-6566

Phone

(984) 733-0292

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Leslie H Yuan Gazdeck, DDSNPI 1811239726

Title

Owner Dentist

Phone

(919) 757-4600

Specialties & licenses 1

Addresses

Other names 1

• Cultivate Kids Dentistry Doing business as

Locations

Practitioners 1

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

• Leslie H Yuan Gazdeck, D.D.S.

  • Pediatric Dentistry
  • Knightdale, NC
  • NPI 1811239726
  NPD Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1265128128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT STE D",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456566",
            "telephone_number": "984-733-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456566",
            "telephone_number": "984-733-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE YUAN GAZDECK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "YUAN GAZDECK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "919-757-4600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivate Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cultivate Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Lange
• Jennifer Laughlin, PA-C
• Elyssa Lee
• Sandra Leggott, FNP
• Torey Julianne Leonard, FNP
• Lindsey Levinson, FNP-C
• Marrika Lewis, MSW,LCSW,CCM
• Trevor G Lewis
• Sidney Libfraind, DMD
• Stephanie Ann Lien, C.O.T.A

• Pediatric Dentistry in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.