Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801006754 Individual Practitioner Male Practitioner

Dr. Walter L Leeks , DMD

Dentist - General Practice • Loganville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Walter Leeks, DMD is a registered healthcare professional specializing in Dentist - General Practice in Loganville, GA. Practice services are available at 4376 LAWRENCEVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4376 Lawrenceville Rd

Loganville, GA 30052

Telephone 7704660363

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Loganville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Loganville, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN 13122

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
19029327 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1902971765

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2016

Registered at 4376 LAWRENCEVILLE RD, LOGANVILLE, GA 30052 (Tel: 7704660363)

📍
Updated Business Mailing Address December 13, 2016

Registered at 4376 LAWRENCEVILLE RD, LOGANVILLE, GA 30052 (Tel: 7704660363)

👤
Provider Name / Credentials Updated December 13, 2016

Recorded as WALTER LEEKS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Dentist (License #DN 13122 in GA)

🟢
Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801006754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: December 13, 2016
Sole Proprietor: Yes

Mailing Address

4376 Lawrenceville Rd

Loganville, GA 30052

Phone: 7704660363

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.