LESLIE H YUAN GAZDECK (NPI# 1811239726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811239726 |
| Entity Type | Individual |
| Full Name | LESLIE H YUAN GAZDECK |
| Credential | D.D.S. |
| Practice Address |
1625 N Main St Ste 201 Fuquay Varina NC 27526 |
| Mailing Address |
709 Evanvale Ct Cary NC 27518-2806 |
| Practice Telephone | 9198467900 |
| Mailing Telephone | 9197574600 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9547 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 E 91st St, New York, NY 101280648 | (212) 876-6475 | |
| 326 W 64th St, Chicago, IL 606213114 | 7739623976 |
| Street Address |
1625 N MAIN ST STE 201 |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609223544 | Jessica Chima | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526-5399 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| 1912214388 | Sandra A Cress | Social Worker | 602 East Academy St. Ste 101, Fuquay-varina, NC 27526 | 2010-09-08 |
| Find all providers in zip 27526 | ||||
| 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 |
|---|---|---|---|---|
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| 1336607340 | Arpita Patel, Dmd, Pa | Dentist | 2400 South Blvd Ste 100, Charlotte, NC 28203-5773 | 2019-03-08 |
| Find all providers with the same taxonomy | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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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.