BRECK LEACH DMD PLLC NPI 1013681584

NPI Information

NPI: 1013681584
Provider Name: BRECK LEACH DMD, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1209 5TH AVE SE STE 6
JAMESTOWN, ND
ZIP 58401
Phone: (701) 252-6005
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BRECK LEACH DMD, PLLC is a dental clinic center in Jamestown, ND. BRECK LEACH DMD, PLLC NPI is 1013681584. The provider is registered as an organization entity type.

The provider's business location address is:

1209 5TH AVE SE STE 6
JAMESTOWN, ND
ZIP 58401-601
Phone: (701) 252-6005
Fax: (701) 251-9188

The provider's authorized official is Breck Andrew Leach .
The authorized official title is Owner and has the following contact phone number (701) 252-6005.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 8/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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