Dr. Jerry Lee Leonard
Oral and Maxillofacial Surgeon
985 Russell Ave
Gaithersburg
, Maryland 20879-6211
Dr. Jerry Lee Leonard
Oral and Maxillofacial Surgeon
985 Russell Ave
Gaithersburg
, Maryland 20879-6211
(301) 926-2928
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jerry Lee Leonard
- 985 Russell Ave
- Gaithersburg, MD
- Zip : 20879-6211
- Phone : (301) 926-2928
Second Address
- Dr. Jerry Lee Leonard
- 985 Russell Ave
- Gaithersburg, MD
- Zip : 20879-6211
- Phone : (301) 926-2928
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 17407 | MD |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 5488 | OK |
National Provider Identifier
| NPI | 1104910694 |
|---|---|
| Provider Name | Dr. Jerry Lee Leonard |
| First Address | Gaithersburg, MD 20879-6211 |
| Second Address | Gaithersburg, MD 20879-6211 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 22/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.