Leslie Anne Carty, DMD
Individual provider Active NPI General Practice Dentistry · Wesson, MS
NPI 1306047972 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1306047972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3123-00 (MS)
- Practice address
- 2076 Highway 51 NE
Wesson, MS 39191-6859 - Phone
- (601) 643-0026
- Fax
- (601) 643-0530
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3123-00 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3123-00 | MS | Yes |
Addresses
Primary practice location
2076 Highway 51 NE
Wesson, MS 39191-6859
Mailing address
PO Box 69
2076 Hwy. 51 North
Wesson, MS 39191-0069
Phone (601) 643-0026
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00660375 | Medicaid | MS | |
| 551182 | Other | MS | UNITED CONCORDIA |
Other providers in Wesson, MS
- Cory A Brice
- Russell Lee Carlisle
- Theavis Cooper Jr.
- Copiah County Medical Center
- Copiah Lincoln Community College
- Amanda Courtney
- Free Your Mind Psychiatric Services, LLC
All providers in Wesson, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.