Leisure Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LEISURE DENTAL

Practice address

7870 Tidewater Dr Unit 202-203
Norfolk, VA 23505-3713

Phone

(757) 222-3880

Fax

(757) 222-5137

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Haggerty Jr., DDS

Title

Owner/Dentist

Phone

(214) 991-5166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1366909046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 HILLINGDON BND APT 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212458",
            "telephone_number": "214-991-5166",
            "fax_number": "757-222-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 TIDEWATER DR UNIT 202-203",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053713",
            "telephone_number": "757-222-3880",
            "fax_number": "757-222-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "214-991-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meghan Caroline Leightner
• Melia L Leisten, CPNP
• Edward Martin Leitz, M.D.
• Utam Lekhraj, NP
• Kristen Leland, SCHOOL PSYCHOLOGIST
• Jennifer L Lemasters-Stover, AGACNP-BC
• Lemich Clinic

• Dental Clinic/Center in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.