Provider Demographics
NPI:1073139960
Name:LEONA C. KEMPER, DDS, PA
Entity Type:Organization
Organization Name:LEONA C. KEMPER, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEONA
Authorized Official - Middle Name:C
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-589-3323
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:AR
Mailing Address - Zip Code:72131-0217
Mailing Address - Country:US
Mailing Address - Phone:501-589-3323
Mailing Address - Fax:501-589-2932
Practice Address - Street 1:6189 HEBER SPRINGS RD WEST
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:AR
Practice Address - Zip Code:72131
Practice Address - Country:US
Practice Address - Phone:501-589-2232
Practice Address - Fax:501-589-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty