Leslie H Yuan Gazdeck, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9547 Issued in NC

Practice address

1008 Big Oak CT Ste D
Knightdale, NC 27545-6566

Phone

(984) 733-0292

NPI assigned

Mar 19, 2013

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

Locations

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.

• Leslie Yuan Gazdeck DDS PLLC

  • Pediatric Dentistry
  • Knightdale, NC
  • NPI 1265128128
  NPD Authorized official

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1811239726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SAINT BRIDES CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188643",
            "telephone_number": "919-757-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT STE D",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456566",
            "telephone_number": "984-733-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 N Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "27526",
            "country_code": "US",
            "telephone_number": "919-846-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 W 64th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606213114",
            "country_code": "US",
            "telephone_number": "773-962-3976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 E 91st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101280648",
            "country_code": "US",
            "telephone_number": "212-876-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUAN GAZDECK",
        "first_name": "LESLIE",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "9547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Wright, MS BCBA LBA
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• Michael S Zurawel

• Pediatric Dentistry in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.