DR. MAURRY LEAS


Address: 1818 Market St, Suite 100, Philadelphia, PA 19103-3638
Phone: 2155672666

DR. MAURRY LEAS (NPI# 1104963651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104963651
Entity Type Individual
Full Name DR. MAURRY LEAS
Credential DDS
Practice Address 1818 Market St
Suite 100
Philadelphia
PA 19103-3638
Mailing Address 1818 Market Street
Suite 100
Philadelphia
PA 19103
Practice Telephone 2155672666
Mailing Telephone 2155672666
Enumeration Date 2007-01-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 1223G0001X Dentist
Specialization: General Practice
DS035637 PA Dental Providers
X 1223G0001X Dentist
Specialization: General Practice
DS017950 PA Dental Providers
X 1223P0300X Dentist
Specialization: Periodontics
DS02736L PA Dental Providers

Office Location

Street Address 1818 MARKET ST
SUITE 100
City PHILADELPHIA
State PA
Zip Code 19103-3638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831642917 Dentistry At 1818 Market St Advanced Practice Dental Therapist 1818 Market St, Suite 100, Philadelphia, PA 19103-3638 2016-07-26
1609150846 Open Systems Healthcare, Inc. Home Health 1818 Market St, Suite 2510, Philadelphia, PA 19103-3638 2011-10-06
1972742112 Kenneth George Young Social Worker 1818 Market St, Philadelphia, PA 19103-3638 2009-02-11
1487821138 Jonathan Siegel Dentist 1818 Market St, Suite 100, Philadelphia, PA 19103-3638 2008-05-13
1245364579 Dentistry At 1818 Market Street Dentist 1818 Market St, Suite 100, Philadelphia, PA 19103-3638 2007-03-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565431 Allyson Caputa Behavior Technician 100 North 18th Street, Suite 300, Philadelphia, PA 19103 2020-10-13
1063062685 Sarah Seeling Social Worker 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 2019-09-16
1730735051 Jill Verofsky Counselor 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 2019-08-13
1932761863 Barclay Prescription Pharmacy Pharmacist 1736 Spruce St, Phila, PA 19103 2019-07-01
1265910459 Whitney Sue Fricke Counselor 2211 Locust St, Philadelphia, PA 19103 2018-07-31
1740784586 Sara Elizabeth Macintyre Speech-Language Pathologist 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 2018-03-19
1326578907 Danielle D Bercovitch Speech-Language Pathologist 1930 S Broad, Philadelphia, PA 19103 2017-06-15
1598114449 Brooke Elaine Mullen Dietitian, Registered 1708 Pine St Apt 1r, Philadelphia, PA 19103 2016-06-10
1972966026 Alexandra Brady Jatzke Dietitian, Registered 1835 Market St Fl 2, Philadelphia, PA 19103 2016-04-05
1932574118 David Clements Iv Psychiatry & Neurology 1845 Walnut St Ste 1540, Philadelphia, PA 19103 2015-12-14
Find all providers in zip 19103

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790385581 Samir Zahedpasha Dentist 1933 Delancey Pl, Philadelphia, PA 19103-6611 2020-10-29
1164040424 Aledy Miguelina Moreta Dentist 1813 Vineyard St, Philadelphia, PA 19130-2122 2020-07-13
1033737473 David Agia Dentist 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 2020-07-13
1710504113 Hanna Lee Dentist 1616 S Rosewood St, Philadelphia, PA 19145-1519 2020-07-01
1982221636 Aldo Profka Dentist 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 2020-06-29
1558985317 Oxford Dental LLC Dentist 5233 Oxford Ave, Philadelphia, PA 19124-1803 2020-06-07
1487277935 Issam Ghaben Dentist 4210 Sansom St, Philadelphia, PA 19104-3589 2020-05-19
1508490509 Mount Airy Family Dental LLC Dentist 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 2020-02-27
1801436506 Special Outreach Services, PC Dentist 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 2020-01-10
1720624547 Philadelphia Mills Dental Center Dentist 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 2019-11-27
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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