Provider Demographics
NPI:1790814994
Name:LEPARD, RICHARD LEON JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEON
Last Name:LEPARD
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 ENDEAVOR CT
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-5772
Mailing Address - Country:US
Mailing Address - Phone:972-772-5528
Mailing Address - Fax:
Practice Address - Street 1:3023 E INTERSTATE 30
Practice Address - Street 2:SUITE 9
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-9707
Practice Address - Country:US
Practice Address - Phone:214-771-3130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11505OtherTX LICENSE
TX11505OtherTX LICENSE