Provider Demographics
NPI:1457566523
Name:DANKWA, LEONISHA THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEONISHA
Middle Name:THOMAS
Last Name:DANKWA
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 1:274 MCMILLAN CT
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-6321
Mailing Address - Country:US
Mailing Address - Phone:304-839-4604
Mailing Address - Fax:
Practice Address - Street 1:13424 PENNSYLVANIA AVE STE 301
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2686
Practice Address - Country:US
Practice Address - Phone:301-733-3414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14970122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist