LESLIE ANN CARROLL (NPI# 1265751770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265751770 |
| Entity Type | Individual |
| Full Name | LESLIE ANN CARROLL |
| Other Name | LESLIE ANN MEHALICK |
| Credential | D.M.D. |
| Practice Address |
1428 W Hebron Pkwy Suite #140 Carrollton TX 75010-6345 |
| Mailing Address |
1677 Oak Ridge Dr Corinth TX 76210-3044 |
| Practice Telephone | 9723941234 |
| Practice Fax Number | 9723941154 |
| Mailing Telephone | 5857399691 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
28797 | TX | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904522 | Leslie Tatum Carroll | Specialist/Technologist | 1809 Victory Ave, Wichita Falls, TX 76301-6020 | 2016-11-08 |
| 1417926445 | Leslie Seton Carroll | Emergency Medicine | 3401 N Broad Street, Philadelphia, PA 19140 | 2006-03-14 |
| 1255994166 | Leslie Carroll | Nurse Practitioner | 700 W Forest Ave Ste 200, Jackson, TN 38301-3940 | 2019-04-16 |
| 1811106701 | Leslie Carroll | Counselor | 13929 Harper Ave, Detroit, MI 48213-3672 | 2007-05-21 |
| 1700872462 | Leslie F Carroll | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2005-09-27 |
| Street Address |
1428 W HEBRON PKWY SUITE #140 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-6345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962445106 | Precision Family Medicine, Pa | Family Medicine | 1428 W Hebron Pkwy, Suite 110, Carrollton, TX 75010-6345 | 2006-06-14 |
| 1700437753 | Jacob Gise | Nurse Practitioner | 1428 W Hebron Pkwy, Carrollton, TX 75010-6345 | 2019-09-21 |
| 1720530017 | Krl Foot and Ankle, PC | Podiatrist | 1428 W Hebron Pkwy, 130, Carrollton, TX 75010-6345 | 2016-11-02 |
| 1801279187 | Premier Behavioral Health, Pllc | Counselor | 1428 W Hebron Pkwy, Suite 135, Carrollton, TX 75010-6345 | 2015-07-03 |
| 1407255086 | Molly Ruth Babl | Physician Assistant | 1428 W Hebron Pkwy, Suite 110, Carrollton, TX 75010-6347 | 2014-08-19 |
| 1316365398 | Care First Physicians Pa | Family Medicine | 1428 W Hebron Pkwy, Suite 110, Carrollton, TX 75010-6345 | 2014-04-07 |
| 1932479169 | Stephanie Haraburda | Counselor | 1428 W Hebron Pkwy, Suite 135, Carrollton, TX 75010-6345 | 2012-01-04 |
| 1245481969 | Kristin Lee Thompson | Social Worker | 1428 W Hebron Pkwy, Ste 135, Carrollton, TX 75010-6345 | 2008-10-01 |
| 1861514978 | Michael Jay Mcquade | Dentist | 1428 W Hebron Pkwy, Suite 140, Carrollton, TX 75010-6345 | 2007-04-06 |
| 1609935477 | Terry Rehabilitation & Testing | Clinic/Center | 1428 W Hebron Pkwy, Suite 120, Carrollton, TX 75010-6345 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1780025312 | Implants & Gumcare Pa | Dentist | 1500 W Hebron Pkwy Ste 108, Carrollton, TX 75010-6531 | 2013-07-11 |
| 1356469449 | Kumar T. Vadivel | Dentist | 1500 West Hebron Parkway Ste 108, Carrollton, TX 75010 | 2007-03-27 |
| 1801853650 | Donna Thomas Moses | Dentist | 530 Newnan St, Carrollton, GA 30117-3344 | 2006-04-26 |
| 1023559101 | Archana Venkataraman | Dentist | 1500 W Hebron Pkwy Ste 108, Carrollton, TX 75010 | 2017-03-09 |
| 1235527284 | Sasi Kumar Sunkara | Dentist | 2440 N Josey Ln, Ste. 201, Carrollton, TX 75006-1668 | 2014-12-29 |
| 1396040705 | Myung Soo Choi | Dentist | 1017 E Trinity Mills Rd, #102, Carrollton, TX 75006-1438 | 2011-01-14 |
| 1447560966 | Amit Mahesh Patel | Dentist | 2440 N Josey Ln, Suite #202, Carrollton, TX 75006-1668 | 2010-10-18 |
| 1447460886 | Donald J Steinberg | Dentist | 2440 N Josey Ln, Suite 202, Carrollton, TX 75006-1668 | 2007-05-23 |
| 1932329844 | Donna Thomas Moses, Dmd, PC | Dentist | 530 Newnan St, Carrollton, GA 30117-3344 | 2007-04-26 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
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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.