DR. JEREMY D LELAND (NPI# 1629251624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629251624 |
| Entity Type | Individual |
| Full Name | DR. JEREMY D LELAND |
| Credential | DDS MD |
| Practice Address |
3622 Williams Dr Bldg 1 Georgetown TX 78628-2415 |
| Mailing Address |
Po Box 49500 Austin TX 78765-9500 |
| Practice Telephone | 5128690529 |
| Practice Fax Number | 5124980154 |
| Mailing Telephone | 5124541220 |
| Mailing Fax Number | 5124670363 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2013-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
23361 | TX | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 23361 | TX | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3622 WILLIAMS DR BLDG 1 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617835 | Gregory N Burroughs | Dentist | 3622 Williams Dr, Building 1, Georgetown, TX 78628-2420 | 2006-02-07 |
| 1952429888 | William C Cain | Dentist | 3622 Williams Dr, Bldg 1, Georgetown, TX 78628-2420 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437557121 | Sumter Oral & Maxillofacial Surgery | Dentist | 624 Front St, Georgetown, SC 29440-3624 | 2014-12-11 |
| 1619317039 | Brittany Ky Eidson | Dentist | 4029 Mercer Rd, Georgetown, TX 78628-2141 | 2013-06-29 |
| 1811090004 | Grant K Nakashima | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2006-09-06 |
| 1083671507 | William F Rinehart | Dentist | 1729 N Fraser St, Georgetown, SC 29440-6407 | 2006-04-27 |
| 1386617835 | Gregory N Burroughs | Dentist | 3622 Williams Dr, Building 1, Georgetown, TX 78628-2420 | 2006-02-07 |
| 1609000272 | Georgetown Oral and Facial Surgery, LLC | Dentist | 101 Darby Dr, Suite 101, Georgetown, KY 40324-8715 | 2009-05-11 |
| 1942482807 | San Gabriel Oral & Maxillofacial Surgery Associates, P.a. | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2007-12-03 |
| 1700931987 | South Strand Oral & Maxillofacial Surgery | Dentist | 1729 N Fraser St, Georgetown, SC 29440-6407 | 2007-01-25 |
| 1932202124 | Michaelanne E Briggs | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
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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.