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NPI Code Detail

MEDICARE: ISAIAS LEON DDS

MEDICARE: ISAIAS LEON DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist13204TN

General Provider Information

NPI Number : 1053246827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAIAS LEON DDS
Provider Business Mailing Address
First Line : 24 WHEATSTONE DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3451
Country : US
Telephone Number : 731-394-7095
Fax Number :
Provider Business Practice Location Address
First Line : 80 EXETER RD
Second Line :
City : JACKSON
State : TN
Zip : 38305-1829
Country : US
Telephone Number : 731-300-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ ISAIAS LEON DDS” Practice Location

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