Individual
DR. LESLIE S NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
311 S DIXIE ST, HORSE CAVE, KY 42749-1230
(270) 786-2547
(270) 786-4576
Mailing address
311 S DIXIE ST, P. O. BOX 324, HORSE CAVE, KY 42749-1230
(270) 786-2547
(270) 786-4576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8533
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100025030
—
KY
Enumeration date
10/23/2007
Last updated
06/26/2012
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