Organization Active NPI

Leslie Allen DDS Inc

  • Dentist
  • Snellville, GA
National Provider Identifier
1265854194
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012334 Issued in GA
Legal business name
LESLIE ALLEN DDS INC
Practice address
3931 Highway 78 W
Ste a
Snellville, GA 30039-3907
Phone
(770) 985-1050
NPI assigned
Jan 13, 2014
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Dr. Leslie Allen, DDSNPI 1952455073
Title
Owner
Phone
(678) 491-1192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30019014 OH
Dentist 122300000X DN012334 GA Primary

Addresses

Primary practice location

3931 Highway 78 W
Ste a
Snellville, GA 30039-3907

Mailing address

3931 Highway 78 W
Ste a
Snellville, GA 30039-3907
Phone (770) 985-1050

Other identifiers 1

IdentifierTypeStateIssuer
269-3732MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1265854194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 HIGHWAY 78 W",
            "address_2": "STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393907",
            "telephone_number": "770-985-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 HIGHWAY 78 W",
            "address_2": "STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393907",
            "telephone_number": "770-985-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE ALLEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-491-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019014",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269-3732",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.