Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEONARD RAY FUQUA JR., DDS, MS
Active Sole ProprietorDR. LEONARD RAY FUQUA JR., DDS, MS is a Orthodontics healthcare provider located in KINGSTON, Tennessee. NPI 1063493500 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · KINGSTON, TN
Registration Details
- NPI Number
- 1063493500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2005 (20.719620055078 yrs)
- Last Updated
- Jul 5, 2011
- License
-
DS0000002917 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 N KENTUCKY STKINGSTON, TN, 377632630Browse TN providers · Browse ZIP 37763
- Phone
- 8653764445
- Fax
- 8653764441
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.