Individual provider · Type 1 NPI

Thomas Lease, DDS, MSD

Periodontics · St. Louis, MO

NPI number 1104905892 Active

Practice location

443 N New Ballas Rd, Ste. 215
St. Louis, MO 63141-6800

Call (314) 567-4430 Map

Fax (314) 567-3014

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X011766 (MO)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1104905892

Thomas Lease, DDS, MSD's National Provider Identifier is 1104905892, issued on Nov 3, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.