Greg a Leisle DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

24823 Issued in CA

Legal business name

GREG A LEISLE DDS INC

Practice address

6245 N Fresno St
#103
Fresno, CA 93710

Phone

(559) 432-6653

Fax

(559) 432-8403

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Becky L Wilson

Title

Office Manager

Phone

(559) 432-6653

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710026851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N FRESNO ST",
            "address_2": "#103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-432-6653",
            "fax_number": "559-432-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N FRESNO ST",
            "address_2": "#103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-432-6653",
            "fax_number": "559-432-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG A LEISLE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-432-6653"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "24823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chyna Olivia Greenwood I
• Ginger Raelene Greer
• Jarell Greer
• Raymond Charles Daniel Greer, PHD
• Vanessa R Greer, NP
• Greg Warner, MD, Incorporated
• Dixie Faye Gregoire, SUDCC111-CS
• Donald W. Gregory, M.D.,FACC
• Jacqueline Gregory, NP
• Joseph Edward Gregory, P.A.-C

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.