Individual
ALISON STEPHANIE LEECOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
79 BROAD ST, WESTFIELD, MA 01085-2999
(413) 562-5494
(413) 568-5597
Mailing address
2 RIDGE RD, PALMER, MA 01069-2259
(413) 636-8612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1859389
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2021
Last updated
08/04/2022
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