Provider Demographics
NPI:1528236429
Name:LEIENDECKER, THOMAS M (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:LEIENDECKER
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:4301 JONES BRIDGE ROAD (USU / TSCOHS)
Mailing Address - Street 2:BUILDING 141, ROOM 221
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4799
Mailing Address - Country:US
Mailing Address - Phone:301-319-6973
Mailing Address - Fax:301-319-6975
Practice Address - Street 1:4301 JONES BRIDGE ROAD (USU / TSCOHS)
Practice Address - Street 2:BUILDING 141, ROOM 221
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4799
Practice Address - Country:US
Practice Address - Phone:301-319-6973
Practice Address - Fax:301-319-6975
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
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Provider Licenses
StateLicense IDTaxonomies
NC52251223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health