WALTER L. LEEKS, III DMD, P.C. (NPI# 1508076464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508076464 |
| Entity Type | Organization |
| Organization Name | WALTER L. LEEKS, III DMD, P.C. |
| Other Organization Name | NEW IMAGE DENTISTRY AT INMAN PARK |
| Practice Address |
245 N Highland Ave Ne Suite 260 Atlanta GA 30307-1909 |
| Practice Telephone | 4045897799 |
| Practice Fax Number | 4042149414 |
| Mailing Telephone | 4045897799 |
| Mailing Fax Number | 4042149414 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WALTER LOUIS LEEKS III (PRESIDENT) |
| Authorized Official Telephone | 4045897799 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 13122 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| New Image Dentistry at Inman Park | Doing Business As Name - Organization |
| Street Address |
245 N HIGHLAND AVE NE SUITE 260 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30307-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811043193 | Alex James Rodriguez | Dentist | 245 N Highland Ave Ne, Suite 260, Atlanta, GA 30307-1936 | 2007-01-26 |
| 1376141853 | Songbird Health Ga LLC | Behavioral Analyst | 245 N Highland Ave Ne, Atlanta, GA 30307-1936 | 2020-10-15 |
| 1184173676 | Vanessa Wilkinson | Counselor | 245 N Highland Ave Ne, Ste 230-207, Atlanta, GA 30307-1936 | 2016-09-26 |
| 1366996969 | Labladies, LLC | Technician, Pathology | 245 N Highland Ave Ne, Ste 230-265, Atlanta, GA 30307-1936 | 2016-08-11 |
| 1417363193 | Amy C Cowhig | Behavioral Analyst | 245 N Highland Ave Ne, Suite 230-455, Atlanta, GA 30307-1909 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1366062846 | Key Counseling Group, LLC | Social Worker | 675 Seminole Ave. Ne, Ste. 111, Atlanta, GA 30307 | 2020-04-24 |
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1336658558 | Erin Asteghene | Specialist/Technologist | 1509 South Ponce De Leon Ave., Atlanta, GA 30307 | 2017-09-20 |
| 1689196446 | Sera Kim | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive Ne, Atlanta, GA 30307 | 2017-07-13 |
| 1164974168 | Megan Elizabeth Tarshis | Social Worker | 675 Seminole Ave., Suite 210, Atlanta, GA 30307 | 2016-10-26 |
| 1255703880 | Jennifer Browning Eastman | Speech-Language Pathologist | 1053 Oakdale Road, Atlanta, GA 30307 | 2015-10-22 |
| 1639566714 | Amit Shah | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive, Atlanta, GA 30307 | 2015-04-16 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1942568803 | Sarah Coyle Burke | Anesthesiology | 870 Inman Village Pkwy Ne, #305, Atlanta, GA 30307 | 2012-04-30 |
| Find all providers in zip 30307 | ||||
| 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 |
|---|---|---|---|---|
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1013548577 | Dental Care 24 7 Staffing Atlanta, LLC | Dentist | 285 Centennial Olympic Park Dr Nw # Cu-2b, Atlanta, GA 30313-1834 | 2020-02-03 |
| 1013547173 | Sha-vashtiy Young-ufeli | Dentist | 587 Virginia Ave Ne Unit 5, Atlanta, GA 30306-3695 | 2020-01-16 |
| 1588210207 | Edgewood Smiles Dentistry, PC | Dentist | 144 Moreland Ave Ne Ste A, Atlanta, GA 30307-2660 | 2019-08-19 |
| 1912552464 | Casey Jean Shuster | Dentist | 999 Peachtree St Ne Ste 715, Atlanta, GA 30309-3964 | 2019-08-01 |
| 1306404389 | Gabrielle Coe | Dentist | 205 S Race St, Atlanta, IL 61723-7586 | 2019-06-04 |
| 1417513730 | Jordan Alexander Reznik | Dentist | 236 Perimeter Center Pkwy Ne Ste C-30, Atlanta, GA 30346-1402 | 2019-05-13 |
| 1316419666 | Vbdc of Woodstock, LLC | Dentist | 5909 Peachtree Dunwoody Rd Ste 800, Atlanta, GA 30328-8103 | 2018-12-27 |
| 1487136867 | Abby Lynn Halpern | Dentist | 1080 Peachtree St Ne Unit 2604, Atlanta, GA 30309-6836 | 2018-09-03 |
| Find all providers in ATLANTA | ||||
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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.