Healthcare Provider Details

I. General information

NPI: 1770487498
Provider Name (Legal Business Name): ROCKY TOP DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 INDUSTRIAL PARK LN
ROCKY TOP TN
37769-2300
US

IV. Provider business mailing address

110 INDUSTRIAL PARK LN
ROCKY TOP TN
37769-2300
US

V. Phone/Fax

Practice location:
  • Phone: 865-426-7421
  • Fax:
Mailing address:
  • Phone: 865-426-7421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. LESLIE DENISE HOLMES-LEACH
Title or Position: DOCTOR WONER
Credential: DMD
Phone: 865-426-7421