Kristen Leong, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KRISTEN LEONG, DMD, LLC

Practice address

3901 Market St
Philadelphia, PA 19104-3133

Phone

(215) 662-1030

Fax

(215) 662-1015

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Leong, DMD

Title

Owner Dentist

Phone

(267) 294-7915

Specialties & licenses 1

Addresses

Other names 1

• University Square Dental Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shari Tara Leavitt, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1508076332
  NPD (past)
• Shin Young Ahn, DMD

  • Periodontics
  • Mountain View, CA
  • NPI 1215380043
  NPD (past)

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1891493961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MARKET ST STE 1936",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043133",
            "telephone_number": "215-662-1030",
            "fax_number": "215-662-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN LEONG, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "267-294-7915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Square Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anirudh Krishnan, MD
• Mrinalini Krishnan, M.D.
• Shraddha Krishnan, MD
• Richard Kriska
• Elizabeth Joy Krispin, FNP
• Kristi Schroeder LLC
• Kristin Elizabeth Monaco LLC
• Matthew Kristofor, CRNP, PMHNP-BC
• Sara Krivacsy, MD
• Lauren Krivitzky, PHD

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.