Leslie M Sanders DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LESLIE M SANDERS DDS PC

Doing business as

Wicker Park Dental Studio, LTD

Practice address

1282 N Milwaukee Ave
Chicago, IL 60622-9319

Phone

(312) 392-0885

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Sanders, DDSNPI 1730430414

Title

Owner/Dentist

Phone

(630) 346-9383

Specialties & licenses 1

Addresses

Other names 1

• Wicker Park Dental Studio, LTD Doing business as

Locations

Practitioners 1

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

• Leslie M Sanders, DDS

  • Dentist
  • Lombard, IL
  • NPI 1730430414
  NPD (past) Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695513600000",
    "number": "1912783705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 N CAMPBELL AVE UNIT 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184726",
            "telephone_number": "630-346-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229319",
            "telephone_number": "312-392-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE M SANDERS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "630-346-9383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wicker Park Dental Studio, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Lesko
• Joseph Paul Leskody, BSN, RN
• Leslee Rutherford DDS PC (Smiles Pediatric Dentistry)
• Lesley M. Heidrich Acupuncture, LLC TM
• Leslie Gable, M.D., S.C.
• Alayna K Leslie
• Audrey Leslie
• Denajha Natalya Leslie
• Donna Leslie, PHARM.D.
• Lance E Leslie III, DMD, MPH

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.