Provider Demographics
NPI:1912002726
Name:HUGGINS, LESLEE SINGLETON (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:LESLEE
Middle Name:SINGLETON
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:DR
Other - First Name:LESLEE
Other - Middle Name:SINGLETON
Other - Last Name:LANCASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS MS
Mailing Address - Street 1:6950 NE CAMPUS WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5611
Mailing Address - Country:US
Mailing Address - Phone:855-433-6825
Mailing Address - Fax:
Practice Address - Street 1:2510 GAME FARM RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-7513
Practice Address - Country:US
Practice Address - Phone:855-433-6825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH038041223P0221X
TX178821223P0221X
CT100691223P0221X
IADDS-100671223P0221X
MADN220751223P0221X
ORD101821223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008004623Medicaid
MA110083443AMedicaid
NH30308216Medicaid