Individual provider · Type 1 NPI

Maurry Leas, DDS

Periodontics · Philadelphia, PA

NPI number 1104963651 Active

Practice location

1818 Market St, Suite 100
Philadelphia, PA 19103-3638

Mailing address

1818 Market Street, Suite 100
Philadelphia, PA 19103

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDS017950 (PA)
General Practice Dentistry 1223G0001XDS035637 (PA)
Periodontics Primary 1223P0300XDS02736L (PA)

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 1104963651

Maurry Leas, DDS's National Provider Identifier is 1104963651, issued on Jan 31, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 11, 2025.