Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LEAF DENTISTRY LLC
Active
Organization
LEAF DENTISTRY LLC
Active
Other names
Leaf Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BLAKE RICHARDSON DDS (DENTIST)
(972) 342-5371
Entity
Organization
Contact information
Practice address
800 S CENTER ST, GRAND PRAIRIE, TX 75051-1815
(972) 264-1662
Mailing address
14700 MARSH LN APT 921, ADDISON, TX 75001-8060
(972) 342-5371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902184476
—
TX
Enumeration date
01/12/2015
Last updated
01/12/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up