Leslie Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37799 Issued in TX

Practice address

1600 N Sarah Dewitt Dr Ste 206
Gonzales, TX 78629-2714

Phone

(830) 339-2007

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Leslie Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Gonzales Dental PLLC

  • General Practice Dentistry
  • Gonzales, TX
  • NPI 1205571361
  NPD
• Smiles of Ingram Park PLLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1538937867
  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1962056200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CHINKAPIN TRL",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N SARAH DEWITT DR STE 206",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786292714",
            "telephone_number": "830-339-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6722 S Flores St Ste 2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782211653",
            "country_code": "US",
            "telephone_number": "210-922-2166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Funston Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782347667",
            "country_code": "US",
            "telephone_number": "210-981-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "NGUYEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelica Christine Salas, LVN
• Rafael Angel Salas, PSYD
• Arlene Marie Sanchez, LVN
• Lalitha Reddy Shada
• Smiles of Gonzales, PLLC
• Stacia D Sweeney, OTA
• T-Rex Therapy Services LLC
• Marie Ida Terreo, LVN
• Texan Nursing and Rehab of Gonzales LLC
• Texas Emergency Room Services PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.