Provider Demographics
NPI:1487941795
Name:PINSON, LESLIE CAMILLE (DDS)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:CAMILLE
Last Name:PINSON
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 1:251 HAMPTON PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-2613
Mailing Address - Country:US
Mailing Address - Phone:937-390-8740
Mailing Address - Fax:937-390-8745
Practice Address - Street 1:251 HAMPTON PL
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-2613
Practice Address - Country:US
Practice Address - Phone:937-390-8740
Practice Address - Fax:937-390-8745
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0235111223D0001X
OH30-0235111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223D0001XDental ProvidersDentistDental Public Health