Brian K. Leach DDS LLC
Organization Active NPI General Practice Dentistry · Shell Knob, MO
NPI 1629468103 · NPPES record last updated Feb 4, 2015
Key facts
- NPI
- 1629468103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2009011494 (MO)
- Legal business name
- BRIAN K. LEACH DDS LLC
- Practice address
- 25376 State Highway 39
Suite 201
Shell Knob, MO 65747-7343 - Phone
- (417) 858-6527
- NPI assigned
- Feb 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian K. Leach, D.D.S.
- Title
- Owner/Dentist
- Phone
- (417) 858-6527
Practitioners 1
-
Brian K. Leach, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 2009011494 | MO | Yes |
Addresses
Primary practice location
25376 State Highway 39
Suite 201
Shell Knob, MO 65747-7343
Mailing address
PO Box 226
Shell Knob, MO 65747-0226
Phone (417) 858-6527
Other names
- Shell Knob Dental Center
Other providers in Shell Knob, MO
- Brian K. Leach, D.D.S.
- Leslie Anne Brown
- Elizabeth Ann Cornelius
- Cox-Monett Hospital Inc
- Kerry Duane Cox
All providers in Shell Knob, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2015. 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.