Provider Demographics
NPI:1356483192
Name:LEFLER, THOMAS B (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:B
Last Name:LEFLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 CORDOBA CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-4020
Mailing Address - Country:US
Mailing Address - Phone:501-922-3443
Mailing Address - Fax:501-922-5142
Practice Address - Street 1:130 CORDOBA CENTER DR
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-4020
Practice Address - Country:US
Practice Address - Phone:501-922-3443
Practice Address - Fax:501-922-5142
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR34261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice