Individual
JOHN C LEIST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
710 DENBIGH BOULEVARD, #7D, NEWPORT NEWS, VA 23608
(757) 877-9325
(757) 874-2466
Mailing address
710 DENBIGH BOULEVARD, #7D, NEWPORT NEWS, VA 23608
(757) 877-9325
(757) 874-2466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401007245
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000101
VA
Other
Enumeration date
09/15/2006
Last updated
09/11/2025
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