Zide, Leslie
Zide, Leslie is an individual health care provider with primary practice located at 1049 Main St Caring Health Center, Inc, Springfield MA 01103-2114. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Zide, Leslie can be contacted via phone (413) 739-1100.Contact Information
Primary practice address
1049 Main St Caring Health Center, Inc
Springfield MA 01103-2114
Phone: (413) 739-1100
Fax: (413) 304-4670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14059 | Massachusetts |
Profile Details
| NPI number | 1154306934 |
|---|---|
| LBN Legal business name | Zide, Leslie |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Sep 1st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154306934 | NPPES |
| Massachusetts | MEDICAID | 110028120 |
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