Leisha Allison Marcum, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

8429 Issued in TN

Practice address

1265 Interstate Dr Ste 101
Cookeville, TN 38501-5198

Phone

(931) 783-1491

NPI assigned

Dec 2, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cavity Commando'S Dentistry for Kids PLLC

  • Pediatric Dentistry
  • Cookeville, TN
  • NPI 1215592340
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1619793072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 DITTY RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385066506",
            "telephone_number": "423-215-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 INTERSTATE DR STE 101",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015198",
            "telephone_number": "931-783-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "LEISHA",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "8429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig James Maltman, M.D.
• Kourtney Mann
• Jalen Manning
• Kimberly Ann Manning, LPN
• Maple Leaf Implant and General Dentistry, PLLC
• Melissa Dawn Marcum, RN
• Rhonda Jane Marcum, APRN, FNP-BC
• Luis Filipe Mariusso, DMD
• Tanya Charlene Marshall, MD
• Carey Ann Martin, R.N.

• Dental Hygienist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.