Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN K. LEACH, D.D.S.
Active Sole ProprietorDR. BRIAN K. LEACH, D.D.S. is a General Dentistry healthcare provider located in SHELL KNOB, Missouri. NPI 1104038074 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SHELL KNOB, MO
Registration Details
- NPI Number
- 1104038074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2007 (19.281638825078 yrs)
- Last Updated
- Jun 10, 2010
- License
-
3452 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25376 STATE HIGHWAY 39SUITE 201SHELL KNOB, MO, 657477343Browse MO providers · Browse ZIP 65747
- Phone
- 4178586527
- Fax
- 4178582570
- Primary Specialty
-
General Dentistry
1223G0001X
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.