Provider Demographics
NPI:1235353889
Name:HESS, LEONARD A (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:A
Last Name:HESS
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 1:2160 COMMERCE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-2834
Mailing Address - Country:US
Mailing Address - Phone:704-289-3161
Mailing Address - Fax:
Practice Address - Street 1:2160 COMMERCE DR
Practice Address - Street 2:SUITE A
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2834
Practice Address - Country:US
Practice Address - Phone:704-289-3161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6989122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist