Individual provider · Type 1 NPI

Kristin Nicole Leis, DDS

Oral and Maxillofacial Surgery (Dentist) · Scottsdale, AZ

NPI number 1750330916 Active

Practice location

6345 E Bell Rd, Suite 1
Scottsdale, AZ 85254-6452

Call (480) 607-3600 Map

Fax (480) 998-9289

Mailing address

1575 Blondell Ave, Suite 150
Bronx, NY 10461-2660

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X049353 (NY)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X6892 (AZ)

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 1750330916

Kristin Nicole Leis, DDS's National Provider Identifier is 1750330916, issued on May 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Scottsdale, AZ. The record was last updated on Mar 3, 2009.