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).
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 |
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 |
Street Address |
1818 MARKET ST SUITE 100 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19103-3638 |
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 |
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 Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
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 |
City | PHILADELPHIA |
Zip Code | 19103 |
Please comment or provide details below to improve the information on DR. MAURRY LEAS.
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.