Provider Demographics
NPI:1184172124
Name:LEDING, CASSANDRA ELIZABETH WORLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:ELIZABETH WORLEY
Last Name:LEDING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 RAHLING CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223
Mailing Address - Country:US
Mailing Address - Phone:501-821-3133
Mailing Address - Fax:501-222-9944
Practice Address - Street 1:1903 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138-2856
Practice Address - Country:US
Practice Address - Phone:615-847-3821
Practice Address - Fax:615-847-5544
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN103681223G0001X
AR4300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice