# LEISGE DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427827831
- **Authorized official:** DR. CONNOR LEISGE DMD (OWNER/DENTIST)
- **Authorized official phone:** (606) 733-5240

## Contact information

- **Practice address:** 127 HIGHWAY 1084, BAXTER, KY 40806-8446
- **Practice address phone:** (606) 621-0640
- **Mailing address:** 127 HIGHWAY 1084, BAXTER, KY 40806-8446
- **Mailing address phone:** (606) 621-0640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2023
- **Last updated:** 12/27/2023