Individual provider · Type 1 NPI

Anthony Gerard Leisure Jr.

General Practice Dentistry · Des Peres, MO

NPI number 1013768415 Active

Practice location

11941 Manchester Rd
Des Peres, MO 63131-4502

Mailing address

938 Castle Pines Dr
Ballwin, MO 63021-4475

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2026000064 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1013768415

Anthony Gerard Leisure Jr.'s National Provider Identifier is 1013768415, issued on Apr 1, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Des Peres, MO. The record was last updated on Mar 24, 2026.