Provider Demographics
NPI:1467473819
Name:LEACH, E. RIGGS III (DDS)
Entity Type:Individual
Prefix:DR
First Name:E.
Middle Name:RIGGS
Last Name:LEACH
Suffix:III
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 1:614 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313-2314
Mailing Address - Country:US
Mailing Address - Phone:717-244-7648
Mailing Address - Fax:717-244-7970
Practice Address - Street 1:622 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-2314
Practice Address - Country:US
Practice Address - Phone:717-244-7648
Practice Address - Fax:717-244-7970
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-020938-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice