Leahy And Associated DDS, PA
Dentist, General Practice in Apex, NC. Organization (NPI-2).
NPI number1265616601
StatusActive
Last updated in NPPESDec 20, 2007
Details
- NPI
- 1265616601
- Entity type
- Organization (NPI-2)
- Legal business name
- Leahy And Associated DDS, PA
- Organization subpart
- No
- Enumeration date
- Dec 20, 2007
- Last updated
- Dec 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7747 | NC | Yes |
Other names
- Leahy Family Dentistry (Doing Business As)
Practice location
1500 Town Side DrSuite 105
Apex, NC 27502-6604
Phone 919-363-4204 · Fax 919-363-4207
Mailing address
1500 Town Side DrSuite 105
Apex, NC 27502-6604
Phone 919-363-4204 · Fax 919-363-4207
Authorized official
Kenneth Leahy
President
9193634204
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