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General NPI Number Information
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NPI Number | 1538068648
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Entity Type | Organization
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Legal Business Name | LANCE E LESLIE III, DMD LLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 212 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43215-4502
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Country | US
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Telephone | 614-461-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 212 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43215-4502
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Country | US
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Telephone | 614-461-4600
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Fax |
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | LANCE EUGENE LESLIE III
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Credential | DMD, MPH, MLS
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Telephone | 614-323-5441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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