Leo J. Malin, D.D.S., S.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4262 Issued in WI

Legal business name

LEO J. MALIN, D.D.S., S.C.

Practice address

3000 Riley Rd
Suite a
Sparta, WI 54656-6588

Phone

(608) 269-0607

Fax

(608) 269-0608

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Leo J. Malin, DDS

Title

Owner

Phone

(608) 269-0607

Specialties & licenses 1

Addresses

Other names 1

• The Missing Tooth Solution Doing business as

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1861643017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 RILEY RD",
            "address_2": "SUITE A",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546566588",
            "telephone_number": "608-269-0607",
            "fax_number": "608-269-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 RILEY RD",
            "address_2": "SUITE A",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546566588",
            "telephone_number": "608-269-0607",
            "fax_number": "608-269-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO J. MALIN, D.D.S., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "MALIN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-269-0607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Missing Tooth Solution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca James Lamb, LPC
• Daniel Landdeck, MD
• Emma K Ledbetter, MD
• Joseph C Lehner, DO
• Naomi Leis, LPN
• Elayne Josephine Lexen, M.S., CCC-SLP
• John Lodico Jr., DC
• Michael Scott Lohse
• Lopez Family Dental, LLC
• Steven Lopez, DDS

• Dental Clinic/Center in Sparta, WI
• Providers in Sparta, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.