Provider Demographics
NPI:1043376098
Name:MCABEE, LELAND B (DDS)
Entity Type:Individual
Prefix:DR
First Name:LELAND
Middle Name:B
Last Name:MCABEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 ALAMO DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-4243
Mailing Address - Country:US
Mailing Address - Phone:707-448-2012
Mailing Address - Fax:707-448-5249
Practice Address - Street 1:292 ALAMO DR
Practice Address - Street 2:SUITE 4
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-4243
Practice Address - Country:US
Practice Address - Phone:707-448-2012
Practice Address - Fax:707-448-5249
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
802652OtherUNITED CONCORDIA
CAB3679601OtherMEDI CAL