Dr Connor Franklin Leisge, DMD is a
Dentist - General Practice based in Baxter, Kentucky. Dr Connor Franklin Leisge is licensed to practice in Kentucky (license number 10815) and his current practice location is
127 Highway 1084, Baxter, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 733-5240.
NPI number for Dr Connor Franklin Leisge is 1558003624 and his current mailing address is 207 Woodland Hls, Harlan, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558003624.
Healthcare Provider's Profile
Full Name | Dr Connor Franklin Leisge |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 127 Highway 1084, Baxter, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558003624
- Provider Enumeration Date: 04/10/2022
- Last Update Date: 09/18/2023
Medical Identifiers
Medical identifiers for Dr Connor Franklin Leisge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558003624 | NPI | - | NPPES |
10815 | Other | KY | KENTUCKY BOARD OF DENTISTRY |
7100894290 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 10815 (Kentucky) | 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 Connor Franklin Leisge 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 Connor Franklin Leisge, DMD 207 Woodland Hls, Harlan, KY 40831-2563 Ph: (606) 733-5240 | Dr Connor Franklin Leisge, DMD 127 Highway 1084, Baxter, KY 40806-8446 Ph: (606) 733-5240 |
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