Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558003624 Individual Practitioner Male Practitioner

Dr. Connor Franklin Leisge , DMD

Dentist - General Practice • Baxter, KY

Professional Overview & Biography Verified Profile Summary

Dr. Connor Leisge, DMD is a registered healthcare professional specializing in Dentist - General Practice in Baxter, KY. Practice services are available at 127 HIGHWAY 1084 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

127 Highway 1084

Baxter, KY 408068446

Telephone 6067335240
Associated Practice Facility / Clinic
🏢 Leisge Dental, Pllc Facility NPI 1427827831

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baxter, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Baxter, KY (1699 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

CMS Verified: 2022-07-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 10815

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
7100894290 (KY)
Commercial Insurance / Payer ID Kentucky Board Of Dentistry
10815 (KY)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 18, 2023

Registered at 127 HIGHWAY 1084, BAXTER, KY 408068446 (Tel: 6067335240)

📍
Updated Business Mailing Address September 18, 2023

Registered at 207 WOODLAND HLS, HARLAN, KY 408312563 (Tel: 6067335240)

👤
Provider Name / Credentials Updated September 18, 2023

Recorded as CONNOR LEISGE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Dentist (License #10815 in KY)

NPI Profile Active April 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2022

Registered at 740 S LIMESTONE, LEXINGTON, KY 405360001 (Tel: 8592578562)

📍
Updated Business Mailing Address April 10, 2022

Registered at 114 BILLIPS AVE, CUMBERLAND, KY 408231302 (Tel: 6067335240)

👤
Provider Name / Credentials Updated April 10, 2022

Recorded as CONNOR LEISGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 2022

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: 1558003624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2022
Last Update: September 18, 2023
Sole Proprietor: No

Mailing Address

207 Woodland Hls

Harlan, KY 408312563

Phone: 6067335240

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.