MEDICARE: DR. THOMAS B LEFLER D.M.D.

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
1	1223G0001X	General Practice Dentistry	3426	AR

General Provider Information

NPI Number	:	1356483192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS B LEFLER D.M.D.

Provider Business Mailing Address
First Line	:	130 CORDOBA CENTER DR
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-4020
Country	:	US
Telephone Number	:	501-922-3443
Fax Number	:	501-922-5142

Provider Business Practice Location Address
First Line	:	130 CORDOBA CENTER DR
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-4020
Country	:	US
Telephone Number	:	501-922-3443
Fax Number	:	501-922-5142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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