MEDICARE: LEFLER DENTAL, P.A.

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

General Provider Information

NPI Number	:	1902919327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEFLER DENTAL, P.A.

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	:	CHIEF FINANCIAL OFFICER
Name	:	MS. CYNTHIA S. LEFLER
Credential	:	BSE
Telephone Number	:	501-922-3443

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	06/26/2013

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