Individual provider Active NPI

Leslie Treherne-Fayton, D.D.S.

  • Dentist
  • Elizabeth City, NC
National Provider Identifier
1821401712
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11338 Issued in NC
Practice address
3875 Conlon Way Ste a
Elizabeth City, NC 27909-9607
Phone
(252) 679-3143
Fax
(252) 679-3144
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11338 NC Primary

Addresses

Primary practice location

3875 Conlon Way Ste a
Elizabeth City, NC 27909-9607

Mailing address

3875 Conlon Way Ste a
Elizabeth City, NC 27909-9607
Phone (252) 679-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11338NCMDDentist
10131TNMDPhysical Therapist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1821401712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 CONLON WAY STE A",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099607",
            "telephone_number": "252-679-3143",
            "fax_number": "252-679-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 CONLON WAY STE A",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099607",
            "telephone_number": "252-679-3143",
            "fax_number": "252-679-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREHERNE-FAYTON",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.