Provider Demographics
NPI:1194456327
Name:LEEDS, MARGARET EMILY (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:EMILY
Last Name:LEEDS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:LEEDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:112 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5312
Mailing Address - Country:US
Mailing Address - Phone:205-847-1415
Mailing Address - Fax:
Practice Address - Street 1:112 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-5312
Practice Address - Country:US
Practice Address - Phone:205-847-1415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD-0007026-C11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice