Provider Demographics
NPI:1649392820
Name:JAMES, LESLIE MICHELE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:MICHELE
Last Name:JAMES
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 1:5005 OLD FEDERAL RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1200
Mailing Address - Country:US
Mailing Address - Phone:502-572-4400
Mailing Address - Fax:
Practice Address - Street 1:2760 JEFFERSON CENTRE WAY STE 2
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8266
Practice Address - Country:US
Practice Address - Phone:812-284-2206
Practice Address - Fax:812-284-2216
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6940122300000X
IN12010820A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist