Provider Demographics
NPI:1083239511
Name:LEIKER, ALEXYSS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXYSS
Middle Name:
Last Name:LEIKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4108 KINGS GATE DR
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1984
Mailing Address - Country:US
Mailing Address - Phone:785-656-3132
Mailing Address - Fax:
Practice Address - Street 1:2701 STERNBERG DR
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2060
Practice Address - Country:US
Practice Address - Phone:785-625-7969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61607122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist