# THOMAS W. LESLIE, D.D.S.

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

## Provider details

- **NPI number:** 1790186682
- **Authorized official:** DR. THOMAS LESLIE D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (304) 258-2291

## Contact information

- **Practice address:** 345 CONCORD AVE, BERKELEY SPRINGS, WV 25411-1235
- **Practice address phone:** (304) 258-2291
- **Practice address fax:** (304) 258-8188
- **Mailing address:** 345 CONCORD AVE, BERKELEY SPRINGS, WV 25411-1235
- **Mailing address phone:** (304) 258-2291
- **Mailing address fax:** (304) 258-8188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2484 | WV | Yes |

## Other

- **Enumeration date:** 09/10/2014
- **Last updated:** 09/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0136367000 | — | WV |