DR. LEANDRO MICHAEL LIRA (NPI# 1073628186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073628186 |
| Entity Type | Individual |
| Full Name | DR. LEANDRO MICHAEL LIRA |
| Credential | D.D.S. |
| Practice Address |
3505 Vicksburg Ln N Suite 1200 Plymouth MN 55447-1342 |
| Practice Telephone | 7636947500 |
| Mailing Telephone | 7636947500 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D11302 | MN | Dental Providers |
| Street Address |
3505 VICKSBURG LN N SUITE 1200 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091268 | Haggerty Dental | Dentist | 16000 N Haggerty Rd, Plymouth, MI 48170-4884 | 2020-07-30 |
| 1902460439 | Jose Joaquin Giraud | Dentist | 130 Carr Rd, Plymouth, WI 53073-9500 | 2019-04-30 |
| 1215477088 | Thomas M. Pedavoli Dds Inc. | Dentist | 850 Columbus Dr, Plymouth, IN 46563-1877 | 2017-02-27 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1356792097 | Uvoh Erhiegueke Onoriobe | Dentist | 9301 Mayflower Ct, Plymouth, MI 48170-3923 | 2016-06-23 |
| 1003263989 | Mohammed Almumaiz | Dentist | 45600 Joy Rd, Plymouth, MI 48170-3660 | 2016-05-19 |
| 1528415742 | Revanth Chada | Dentist | 4665 Urbandale Ct N, Plymouth, MN 55446-1946 | 2016-05-17 |
| 1336595941 | Michelle Peters | Dentist | 9416 S Main St Ste 211, Plymouth, MI 48170-4183 | 2016-05-12 |
| 1154798262 | Mark Jurek | Dentist | 556 N Oak Dr, Plymouth, IN 46563-1664 | 2015-08-24 |
| 1336516517 | Dental Center of Plymouth LLC | Dentist | 1913 N Michigan St Ste E, Plymouth, IN 46563-1015 | 2015-08-24 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.