Provider Demographics
NPI:1508045071
Name:LESHINGER, CRAIG L (DMD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:L
Last Name:LESHINGER
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 1:31 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-9433
Mailing Address - Country:US
Mailing Address - Phone:631-744-5700
Mailing Address - Fax:631-821-6965
Practice Address - Street 1:31 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-9433
Practice Address - Country:US
Practice Address - Phone:631-744-5700
Practice Address - Fax:631-821-6965
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043429122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist