Michelle Mignon Lecklitner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12009478 Issued in IN

Practice address

2011 Kossuth Street
Lafayette, IN 47905

Phone

(765) 447-4726

Fax

(765) 447-7891

NPI assigned

Apr 17, 2007

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

Other names 1

• Michelle Mignon Ashcraft Other name

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295951754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 KOSSUTH STREET",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-447-4726",
            "fax_number": "765-447-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 KOSSUTH STREET",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-447-4726",
            "fax_number": "765-447-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKLITNER",
        "first_name": "MICHELLE",
        "middle_name": "MIGNON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ASHCRAFT",
            "middle_name": "MIGNON",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carrie Leak
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• Teresa L Leatherland, CST
• Laurie L Lebegue, CST
• Rebecca Bendette Lechman, LMFT
• Brooklynn Ledger
• Albert C Lee, M.D.
• Chan Lee, M.D.
• Chia-Hsin Lee
• Christopher Robert Lee, M.D.

• Dentist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Dentist in Indiana

• 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.