Provider Demographics
NPI:1992215016
Name:BYARS, LEAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:BYARS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21059 DANBURY CT
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-2432
Mailing Address - Country:US
Mailing Address - Phone:571-331-8297
Mailing Address - Fax:
Practice Address - Street 1:21059 DANBURY CT
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-2432
Practice Address - Country:US
Practice Address - Phone:571-331-8297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401415802122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist