MEDICARE: CYNTHIA A LEIGH DDS 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	7626	NC

General Provider Information

NPI Number	:	1851696637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA A LEIGH DDS PLLC

Provider Business Mailing Address
First Line	:	501 N HIGHWAY 16
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-8245
Country	:	US
Telephone Number	:	704-489-2009
Fax Number	:	704-489-2044

Provider Business Practice Location Address
First Line	:	501 N HIGHWAY 16
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-8245
Country	:	US
Telephone Number	:	704-489-2009
Fax Number	:	704-489-2044

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. CYNTHIA A LEIGH
Credential	:	DDS
Telephone Number	:	704-489-2009

Provider Enumeration Date	:	01/25/2011
Last Update Date	:	09/26/2016

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