Leslie Brewer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3289-04 Issued in MS

Practice address

707 Laurel Street
Summit, MS 39666-0759

Phone

(601) 276-9561

Fax

(601) 276-9562

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295742823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "address_2": "707 LAUREL ST.",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396660759",
            "telephone_number": "601-276-9561",
            "fax_number": "601-276-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAUREL STREET",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396660759",
            "telephone_number": "601-276-9561",
            "fax_number": "601-276-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3289-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01258242",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Bell
• Jacqueline Denise Bell
• Laura Black
• Karen Boone, NP-C
• Russell Craig Boyd
• Bridget S Bridges
• Amy Brown
• Sarah Brumfield
• Brelon T Bryant, LPTA
• Leslie Buchhorn

• All providers in Summit, MS
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.