Kelly M Leblanc, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16515 Issued in TX

Practice address

2040 N Loop 336 W Ste 230
Conroe, TX 77304-3579

Phone

(832) 770-4509

Fax

(281) 292-2125

NPI assigned

Sep 25, 2006

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Good Night DDS PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Conroe, TX
  • NPI 1174404537
  Medicare reassignment NPD Authorized official
• Dental Health Associates of Texas, PC

  • General Practice Dentistry
  • Spring, TX
  • NPI 1316499296
  NPD (past)
• Kip W Saunders DDS Ms Inc

  • Periodontics
  • Spring, TX
  • NPI 1740343839
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1912007295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14911 POLLUX DR",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185080",
            "telephone_number": "281-989-4320",
            "fax_number": "281-292-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 230",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043579",
            "telephone_number": "832-770-4509",
            "fax_number": "281-292-2125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Grogans Park Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773802937",
            "country_code": "US",
            "telephone_number": "832-770-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lea, LPC
• Dylan Guy Leach
• Leadingedge Behavioural Health and Services PLLC
• League Line Medical Center LLC
• Sharon Kay Leasure, LPC
• Jason M Lebwohl, M.D.
• Dana Marie Ledet-Hurd, PMHNP-BC
• Bang-Ning Lee, PA-C
• Susan Alice Lee, M.D.
• Legacy Reliable Transportation LLC

• Dentist in Conroe, TX
• Providers in Conroe, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.