NPI 1891351391

Grant Leishman, DDS

Practitioner General Practice Dentistry Fort Kent, ME

Practice location

Address: 139 Market St, Fort Kent, ME 04743-1410
Phone: (207) 834-3907

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DEN4701 (ME)

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Registry record

NPI: 1891351391
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2019
Record last updated: 10 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.