Provider Demographics
NPI:1669415204
Name:LEINART, WILLIAM E (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:LEINART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 FAIRLAKES CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-1439
Mailing Address - Country:US
Mailing Address - Phone:972-686-4430
Mailing Address - Fax:
Practice Address - Street 1:1900 OATES DR
Practice Address - Street 2:SUITE 173
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6862
Practice Address - Country:US
Practice Address - Phone:972-686-6060
Practice Address - Fax:972-686-7030
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11,0691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice