Provider Demographics
NPI:1609299544
Name:LEAD HOLDINGS LTD., LLP
Entity Type:Organization
Organization Name:LEAD HOLDINGS LTD., LLP
Other - Org Name:ELITE DENTISTRY, II PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:512-892-9900
Mailing Address - Street 1:5901 OLD FREDERICKSBURG RD
Mailing Address - Street 2:SUITE D-102
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1209
Mailing Address - Country:US
Mailing Address - Phone:512-892-9900
Mailing Address - Fax:512-892-9903
Practice Address - Street 1:5901 OLD FREDERICKSBURG RD
Practice Address - Street 2:SUITE D-102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1209
Practice Address - Country:US
Practice Address - Phone:512-892-9900
Practice Address - Fax:512-892-9903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty