MEDICARE: LESKA 2 SPRING DENTISTRY PLLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1417812744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LESKA 2 SPRING DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	2 SPRING ST
Second Line	:
City	:	SWANTON
State	:	VT
Zip	:	05488-1329
Country	:	US
Telephone Number	:	802-868-3334
Fax Number	:	802-868-3931

Provider Business Practice Location Address
First Line	:	2 SPRING ST
Second Line	:
City	:	SWANTON
State	:	VT
Zip	:	05488-1329
Country	:	US
Telephone Number	:	802-868-3334
Fax Number	:	802-868-3931

Authorized Official
Title or Position	:	OFFICE STAFF
Name	:	LISA HAYDEN
Credential	:
Telephone Number	:	802-868-3334

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “LESKA 2 SPRING DENTISTRY PLLC ” Practice Location

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