Provider Demographics
NPI:1326768326
Name:ELGIN HEALTHY SMILES PLLC
Entity Type:Organization
Organization Name:ELGIN HEALTHY SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:VEILLEUX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-913-7363
Mailing Address - Street 1:193 E US HIGHWAY 290
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-3313
Mailing Address - Country:US
Mailing Address - Phone:512-883-7723
Mailing Address - Fax:
Practice Address - Street 1:193 E US HIGHWAY 290
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-3313
Practice Address - Country:US
Practice Address - Phone:512-883-7723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental