DR. MICHAEL ROBERT LEECH (NPI# 1124036470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124036470 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROBERT LEECH |
| Credential | DDS |
| Practice Address |
630 Lexington Ave Mansfield OH 44907-1500 |
| Practice Telephone | 4197561110 |
| Mailing Telephone | 4197561110 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30 018983 | OH | Dental Providers |
| Street Address |
630 LEXINGTON AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042774 | Jessica Gooden | Physical Therapist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2020-08-10 |
| 1760003891 | Dynamic Dental Specialists, LLC | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2020-04-29 |
| 1114484359 | Ryan M Rundle | Physical Therapist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2019-02-25 |
| 1306340567 | Oakwood Oral and Maxillofacial Surgery, Christopher N. Beale, Dds, LLC | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2018-03-22 |
| 1306077656 | Timothy Scott Bartholomew | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2009-08-05 |
| 1164652822 | Mid Ohio Infectious Diseases Clinic LLC | Clinic/Center | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2009-07-16 |
| 1285896803 | Bruce A. Martin, M.d., L.L.C. | Internal Medicine | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2008-06-25 |
| 1841382728 | Edwin Lee Farrar | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-09-29 |
| 1730271529 | Gary Ernest Owens | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-09-29 |
| 1780776575 | Edwin L Farrar, Dds Inc | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| 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 |
|---|---|---|---|---|
| 1578125688 | Abel David Lopez-portillo | Dentist | 3550 E Broad St, Mansfield, TX 76063-5633 | 2019-06-28 |
| 1073070066 | Today Dental of Mansfield North Pllc | Dentist | 1200 Highway 287 N Ste 101, Mansfield, TX 76063-2874 | 2019-02-26 |
| 1578090452 | Erin Hersey | Dentist | 292 Chauncy St # 150, Mansfield, MA 02048-1203 | 2017-05-22 |
| 1245688829 | Faith Amber Rheiner | Dentist | 1811 Highway 287 N Ste 160, Mansfield, TX 76063-7571 | 2016-05-24 |
| 1952652901 | Sarah Elizabeth Hopps | Dentist | 1510 Piedmont Dr, Mansfield, TX 76063-6046 | 2012-09-29 |
| 1659626505 | Michael Joseph Castle | Dentist | 2771 E Broad St Ste 221, Mansfield, TX 76063-9157 | 2012-07-17 |
| 1134485857 | Steven A. Sousa | Dentist | 26 Windchime Dr, Mansfield, MA 02048-2934 | 2012-04-06 |
| 1811268659 | Debbie Lane Dental & Orthodontics, Pllc | Dentist | 1551 Highway 287 N, Suite 411, Mansfield, TX 76063-8890 | 2012-01-25 |
| 1578846218 | Mansfield Smiles and Orthodontics, PC | Dentist | 3300 E Broad St Ste 120, Mansfield, TX 76063-5626 | 2011-09-20 |
| 1982992723 | Levy T Do | Dentist | 1560 E Debbie Ln Ste 108, Mansfield, TX 76063-8575 | 2011-07-14 |
| Find all providers in MANSFIELD | ||||
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| 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.