Leigha Kaye Clark
Dental Hygienist
6294 State Highway 154
Sesser
, Illinois 62884-2163
Leigha Kaye Clark
Dental Hygienist
6294 State Highway 154
Sesser
, Illinois 62884-2163
(618) 724-2571
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Leigha Kaye Clark
- Po Box 155
- Christopher, IL
- Zip : 62822-0155
- Fax : (618) 724-2571
- Phone : (618) 724-2436
Second Address
- Leigha Kaye Clark
- 6294 State Highway 154
- Sesser, IL
- Zip : 62884-2163
- Fax : (618) 625-5362
- Phone : (618) 625-6679
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020011274 | IL |
National Provider Identifier
| NPI | 1033484514 |
|---|---|
| Provider Name | Leigha Kaye Clark |
| First Address | Christopher, IL 62822-0155 |
| Second Address | Sesser, IL 62884-2163 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2012 |
| Last Update Date | 15/03/2012 |
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.