Individual provider · Type 1 NPI

Jerry Lee Leonard, DDS

Oral and Maxillofacial Surgery (Dentist) · Gaithersburg, MD

NPI number 1104910694 Active

Practice location

985 Russell Ave
Gaithersburg, MD 20879-6211

Call (301) 926-2928 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X5488 (OK)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X17407 (MD)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1104910694

Jerry Lee Leonard, DDS's National Provider Identifier is 1104910694, issued on Oct 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gaithersburg, MD. The record was last updated on Oct 22, 2021.