Organization
LEISGE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNOR LEISGE DMD (OWNER/DENTIST)
(606) 733-5240
Entity
Organization
Contact information
Practice address
127 HIGHWAY 1084, BAXTER, KY 40806-8446
(606) 621-0640
Mailing address
127 HIGHWAY 1084, BAXTER, KY 40806-8446
(606) 621-0640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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