Provider Demographics
NPI:1477268845
Name:LEIKER SMILES LLC
Entity Type:Organization
Organization Name:LEIKER SMILES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXYSS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:785-656-3132
Mailing Address - Street 1:2504 DONALD DR
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2211
Mailing Address - Country:US
Mailing Address - Phone:785-656-3132
Mailing Address - Fax:
Practice Address - Street 1:568 W 7TH
Practice Address - Street 2:
Practice Address - City:HOISINGTON
Practice Address - State:KS
Practice Address - Zip Code:67544-1918
Practice Address - Country:US
Practice Address - Phone:620-653-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental