Active NPI
Leslie Allen DDS Inc
- Dentist
- Snellville, GA
National Provider Identifier
1265854194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN012334
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie Allen, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269-3732 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Stone Mountain, GA
- NPI 1952455073
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.