DR. LESLIE FITZ (NPI# 1578918777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578918777 |
| Entity Type | Individual |
| Full Name | DR. LESLIE FITZ |
| Credential | D.M.D. |
| Practice Address |
6801 Ridge Ave Philadelphia PA 19128-2446 |
| Mailing Address |
2819 Fiesta Dr York PA 17403-9741 |
| Practice Telephone | 2154836633 |
| Mailing Telephone | 7176836716 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS029926L | PA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS029926L | PA | Dental Providers |
| Street Address |
6801 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235157785 | Steven Mark Richmond | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2006-07-17 |
| 1386164945 | Kristianne Vidal Macaraeg | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128 | 2017-06-26 |
| 1912436874 | Bianca Kreider | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2017-06-05 |
| 1114395795 | Jennifer Huynh | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2015-09-12 |
| 1235510520 | Lisa Marie Price | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2015-06-12 |
| 1598177107 | Rachel Bresler | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128 | 2014-05-30 |
| 1437410727 | Jill Julianna Bresler | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2012-06-03 |
| 1013277151 | Jessica Mandi Hershman | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2012-05-23 |
| 1295055911 | Danielle Nicole Litman | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2010-06-03 |
| 1225299910 | Tracey Heiken Bresler | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2008-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544008 | Lauren Julie Harper | Dentist | 8566 Bustleton Ave, Philadelphia, PA 19152-1218 | 2014-06-30 |
| 1871933036 | Mara Teplitsky | Dentist | 1616 Walnut St Apt 401, Philadelphia, PA 19103-5323 | 2013-07-02 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1356570352 | Rosana Rosentrater | Dentist | 240 South 40th St Suite F-17, University of Pennsylvania School of Dental Medicine, Philadelphia, PA 19104-6003 | 2009-07-11 |
| 1790935898 | Monika Srivastava | Dentist | 1352 South St # C5c4, Philadelphia, PA 19147-1858 | 2008-09-25 |
| 1255594842 | Dana Kristanne Chianese | Dentist | 2301 E Allegheny Ave Ste 201, Philadelphia, PA 19134-4427 | 2008-07-03 |
| 1548464761 | George Thomas Lynch Iv | Dentist | 1352 South St, C5, Philadelphia, PA 19147-1858 | 2007-06-12 |
| 1053513614 | Rajbir Sanghvi | Dentist | 1835 Arch St Apt 903, Philadelphia, PA 19103-2779 | 2007-06-04 |
| 1477631562 | Howard Marvin Rosenberg | Dentist | 4001 Spruce St, Pediatric Dentistry, Philadelphia, PA 19104-4118 | 2006-11-02 |
| 1669402517 | Douglas Richard Reich | Dentist | 7122 Rising Sun Ave, Philadelphia, PA 19111-3957 | 2006-07-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
Please comment or provide details below to improve the information on DR. LESLIE FITZ.
| 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.