Provider Demographics
NPI:1912533019
Name:LESLIE WESSINGER DDS PLLC
Entity Type:Organization
Organization Name:LESLIE WESSINGER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-216-9531
Mailing Address - Street 1:5 DOCTORS PARK STE F
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4520
Mailing Address - Country:US
Mailing Address - Phone:828-216-9531
Mailing Address - Fax:
Practice Address - Street 1:5 DOCTORS PARK STE F
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4520
Practice Address - Country:US
Practice Address - Phone:828-216-9531
Practice Address - Fax:919-869-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty