Healthcare Provider Details

I. General information

NPI: 1790622447
Provider Name (Legal Business Name): LELAND DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 PROSPECT ST
GLOUCESTER MA
01930-3710
US

IV. Provider business mailing address

14 HEATHER DR
READING MA
01867-3959
US

V. Phone/Fax

Practice location:
  • Phone: 781-439-5238
  • Fax:
Mailing address:
  • Phone: 781-439-5238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN LELAND
Title or Position: OWNER
Credential: DMD
Phone: 781-439-5238