Provider Demographics
NPI:1407902976
Name:LEEMAN, EVE (DMD)
Entity Type:Individual
Prefix:DR
First Name:EVE
Middle Name:
Last Name:LEEMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 CLINTON PL
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1141
Mailing Address - Country:US
Mailing Address - Phone:617-630-9244
Mailing Address - Fax:
Practice Address - Street 1:1 KENDALL SQ
Practice Address - Street 2:BLDG 300 SUITE 312
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1562
Practice Address - Country:US
Practice Address - Phone:617-577-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA173831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice