Provider Demographics
NPI:1285019026
Name:VEILLEUX, LEIGH (DDS)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:VEILLEUX
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:PO BOX 897
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-0897
Mailing Address - Country:US
Mailing Address - Phone:512-281-4260
Mailing Address - Fax:
Practice Address - Street 1:2511 BECKER DR
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5717
Practice Address - Country:US
Practice Address - Phone:979-836-4808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice