Doctor Name: | MS. LESLIE LYNN WARREN |
NPI Number: | 1235227224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS |
License Number: | 7872 |
Business Practice Address: | 95 Hwy 51 Bypass West Dyersburg, TN - 38024 |
Business Phone Number: | 7312861271 |
Business Fax Number: | 7312860019 |
Mailing Address: | 2234 Eastwood Dr, TRIMBLE |
State: | TN |
Postal Code: | 382593256 |
Phone Number: | 7316768251 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 02/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 7872 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |