Samantha A. Leatherwood, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24776 Issued in TX

Practice address

3044 Old Denton Rd Ste 126
Carrollton, TX 75007-5099

Phone

(972) 446-1111

Fax

(972) 446-1112

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1275762189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 126",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075099",
            "telephone_number": "972-446-1111",
            "fax_number": "972-446-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 126",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075099",
            "telephone_number": "972-446-1111",
            "fax_number": "972-446-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERWOOD",
        "first_name": "SAMANTHA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Le, PHARMD
• Dai An Le, CRNA
• John Le, OD
• Quynh-Huong Luong Le
• Caitlin Ann Least
• Tammy D Leday, LPC-S, LCDC
• Lee Eye Surgery Clinic PA
• Eun Joo Lee, FNP-C
• Hun K. Lee, M.D.
• Hyobin Lee, BCBA

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.