LESLIE C. HORN, DMD, PSC (NPI# 1609911700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609911700 |
| Entity Type | Organization |
| Organization Name | LESLIE C. HORN, DMD, PSC |
| Practice Address |
3349 Tates Creek Rd Suite 208 Lexington KY 40502-3467 |
| Practice Telephone | 8592684407 |
| Practice Fax Number | 8592689562 |
| Mailing Telephone | 8592684407 |
| Mailing Fax Number | 8592689562 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LESLIE C. HORN (OWNER,PRESIDENT) |
| Authorized Official Telephone | 8592684407 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6605 | KY | Dental Providers |
| Street Address |
3349 TATES CREEK RD SUITE 208 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477610327 | Clifford Patric Tsuboi | Pharmacist | 3349 Tates Creek Rd, Lansdowne Shopping Center, Lexington, KY 40502-3467 | 2007-01-02 |
| 1598288938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3349 Tates Creek Rd, Lexington, KY 40502-3467 | 2017-07-18 |
| 1821353236 | Marissa Marcinek Boelhauf | Pharmacist | 3349 Tates Creek Rd, Lexington, KY 40502-3467 | 2012-07-11 |
| 1831489822 | Deborah Susan Smith | Pharmacist | 3349 Tates Creek Rd, Lansdowne Shopping Center, Lexington, KY 40502-3467 | 2011-04-12 |
| 1548470875 | Susan Richard Tegtmeier | Pharmacist | 3349 Tates Creek Rd, Lexington, KY 40502-3467 | 2007-05-23 |
| 1528183506 | David M Cash | Dentist | 3349 Tates Creek Rd, Suite 212, Lexington, KY 40502-3467 | 2007-03-20 |
| 1396882270 | Leslie C. Horn | Dentist | 3349 Tates Creek Rd, Suite 208, Lexington, KY 40502-3467 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| Find all providers in zip 40502 | ||||
| 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 |
|---|---|---|---|---|
| 1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
| 1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
| 1811462336 | Lexington Periodontics and Implant Dentistry | Dentist | 620 Perimeter Dr Ste 201, Lexington, KY 40517-4125 | 2018-10-11 |
| 1326285883 | Jeff Dickson | Dentist | 249 Greenbriar Rd, Lexington, KY 40503-4020 | 2009-01-20 |
| 1609013481 | Amjad Aldallal | Dentist | 3900 Crosby Dr Apt 2212, Lexington, KY 40515-1808 | 2009-01-15 |
| 1790977668 | Ward Thomas Piepgrass | Dentist | 3181 Beaumont Centre Cir, Lexington, KY 40513-1836 | 2007-08-15 |
| 1023130275 | Walter Neal Shepherd | Dentist | 3285 Blazer Parkway, Suite 110, Lexington, KY 40509 | 2007-04-06 |
| 1346385010 | Paul Armstrong Jr. | Dentist | 811 Corporate Dr, 302, Lexington, KY 40503-5407 | 2007-02-21 |
| 1205927696 | Gregory Shawn Vance | Dentist | 3285 Blazer Pkwy, Suite 210, Lexington, KY 40509-2119 | 2006-09-28 |
| 1962511832 | Garnett C. Brown IIi | Dentist | 1001 Monarch St Ste 200, Lexington, KY 40513-1875 | 2006-08-30 |
| Find all providers in LEXINGTON | ||||
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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.