Provider Demographics
NPI:1073623815
Name:KAPLAN, LEONARD MARVIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:MARVIN
Last Name:KAPLAN
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 1:502 EAST CORNWALLIS DRIVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-5677
Mailing Address - Country:US
Mailing Address - Phone:336-272-2249
Mailing Address - Fax:336-389-9441
Practice Address - Street 1:502 EAST CORNWALLIS DRIVE
Practice Address - Street 2:SUITE E
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5677
Practice Address - Country:US
Practice Address - Phone:336-272-2249
Practice Address - Fax:336-389-9441
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8994764Medicaid
NC034016OtherAETNA DMO
NC94764OtherBCBS
U45628Medicare UPIN