Michael L. Leingang, III, DDS, PC
Dentist, General Practice in Marietta, GA. Organization (NPI-2).
NPI number1154530293
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154530293
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael L. Leingang, III, DDS, PC
- Organization subpart
- No
- Enumeration date
- May 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 012285 | GA | Yes |
Practice location
3823 Roswell RdSuite 201
Marietta, GA 30062-6278
Phone 770-977-1892 · Fax 678-560-5261
Mailing address
3823 Roswell RdSuite 201
Marietta, GA 30062-6278
Phone 770-977-1892 · Fax 678-560-5261
Authorized official
Michael Louis Leingang
President
7709771892
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