Dr Richard Lyle Leensvaart, DDS | |
340 Printers Pkwy, Colorado Springs, CO 80910-3190 | |
(719) 475-0783 | |
Not Available |
Full Name | Dr Richard Lyle Leensvaart |
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Gender | Male |
Speciality | Dentist |
Location | 340 Printers Pkwy, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528356532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 10492 (Colorado) | Primary |
Entity Name | Peak Vista Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
Mailing Address | Practice Location Address |
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Dr Richard Lyle Leensvaart, DDS 731 Briar Ridge Ct, Castle Pines, CO 80108-8222 Ph: () - | Dr Richard Lyle Leensvaart, DDS 340 Printers Pkwy, Colorado Springs, CO 80910-3190 Ph: (719) 475-0783 |
Dr. Paul J. Lombardi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2828 International Cir, Suite 100, Colorado Springs, CO 80910 Phone: 719-632-5700 | |
Dr. Yasufumi Yamazaki, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2436 S Academy Blvd, Colorado Springs, CO 80916 Phone: 719-331-2336 Fax: 719-391-1625 | |
Tetyana Korchynskyy, DMD, MSD Dentist Medicare: Medicare Enrolled Practice Location: 1694 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906 Phone: 719-538-4671 | |
Dwayne Preston Hall, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5944 Stetson Hills Blvd, Ste 100, Colorado Springs, CO 80922 Phone: 719-638-2260 Fax: 719-638-2261 | |
Dr. Abraham Kanjappallil Thomas, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5426 N Academy Blvd, Ste 202, Colorado Springs, CO 80918 Phone: 719-266-5420 Fax: 719-266-6988 | |
Dr. Derek Allan Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6160 Tutt Blvd, Suite 140, Colorado Springs, CO 80923 Phone: 719-550-1010 Fax: 719-550-1212 | |
Dr. Alexandra Blomquist, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 595 Chapel Hills Dr Ste 105, Colorado Springs, CO 80920 Phone: 719-475-2511 |