Dr Brian K Leach, DDS is a
Dentist - General Practice based in Shell Knob, Missouri. Dr Brian K Leach is licensed to practice in Arkansas (license number 3452) and his current practice location is
25376 State Highway 39, Suite 201, Shell Knob, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 858-6527.
NPI number for Dr Brian K Leach is 1104038074 and his current mailing address is 25376 State Highway 39 Ste 201, P.o. Box 226, Shell Knob, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104038074.
Healthcare Provider's Profile
| Full Name | Dr Brian K Leach |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 25376 State Highway 39, Shell Knob, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104038074
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 06/10/2010
Medical Identifiers
Medical identifiers for Dr Brian K Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104038074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3452 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian K Leach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brian K Leach, DDS
25376 State Highway 39 Ste 201, P.o. Box 226,
Shell Knob, MO 65747-7900
Ph: (417) 858-6527 | Dr Brian K Leach, DDS
25376 State Highway 39, Suite 201,
Shell Knob, MO 65747-7343
Ph: (417) 858-6527 |
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