Provider Demographics
NPI:1790021459
Name:LEBLANC & ASSOCIATES DENTISTRY FOR CHILDREN, P.A.
Entity Type:Organization
Organization Name:LEBLANC & ASSOCIATES DENTISTRY FOR CHILDREN, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TESIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-387-3500
Mailing Address - Street 1:15151 S BLACKBOB RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3301
Mailing Address - Country:US
Mailing Address - Phone:913-764-5600
Mailing Address - Fax:913-747-6466
Practice Address - Street 1:15151 S BLACKBOB RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3301
Practice Address - Country:US
Practice Address - Phone:913-764-5600
Practice Address - Fax:913-747-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty