Leaf Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEAF DENTAL

Practice address

5509 Pleasant Valley Dr Ste 200
Plano, TX 75023-5249

Phone

(916) 425-4172

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By 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

Mrs. Azita Sedigh

Title

Office Director

Phone

(916) 425-4172

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1598266983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235249",
            "telephone_number": "916-425-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235249",
            "telephone_number": "916-425-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAF DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "SEDIGH",
        "authorized_official_first_name": "AZITA",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "916-425-4172",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.