Dr. Leon Flettrich IV, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3910 Issued in LA

Legal business name

DR. LEON FLETTRICH IV, LLC

Doing business as

Flettrich Family Dentistry

Practice address

729 N Carrollton Ave
New Orleans, LA 70119-4708

Phone

(504) 483-0955

Fax

(504) 488-1947

NPI assigned

Dec 11, 2017

Last updated

Jan 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leon Albert Flettrich IV, DDSNPI 1073040002

Title

Dentist

Phone

(504) 483-0955

Specialties & licenses 1

Addresses

Other names 1

• Flettrich Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leon Albert Flettrich IV, DDS

  • Dentist
  • New Orleans, LA
  • NPI 1073040002
  NPD Authorized official

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1548775703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194708",
            "telephone_number": "504-483-0955",
            "fax_number": "504-488-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194708",
            "telephone_number": "504-483-0955",
            "fax_number": "504-488-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEON FLETTRICH IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "FLETTRICH",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "504-483-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flettrich Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in New Orleans, LA
• Providers in New Orleans, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.