Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013768415 Individual Practitioner Male Practitioner

Anthony Gerard Leisure

Dentist - General Practice • Des Peres, MO

Professional Overview & Biography Verified Profile Summary

Anthony Leisure is a registered healthcare professional specializing in Dentist - General Practice in Des Peres, MO. Practice services are available at 11941 MANCHESTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11941 Manchester Rd

Des Peres, MO 631314502

Telephone 3145018300
Associated Practice Facility / Clinic
🏢 Ccs Smiles Llc Facility NPI 1316638125

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Des Peres, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Des Peres, MO (2113 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: 2026-03-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2026000064

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Gavin Tarazi , DMD

Dentist - General Practice

NPI 1740169630

Doctor of Dental Medicine

NPI 1861374092

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 24, 2026

Registered at 11941 MANCHESTER RD, DES PERES, MO 631314502 (Tel: 3145018300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2026

Dentist (License #2026000064 in MO)

NPI Profile Active April 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2024

Registered at 650 E 25TH ST, KANSAS CITY, MO 641082716 (Tel: 3147077608)

📍
Updated Business Mailing Address April 01, 2024

Registered at 938 CASTLE PINES DR, BALLWIN, MO 630214475 (Tel: 3147077608)

👤
Provider Name / Credentials Updated April 01, 2024

Recorded as ANTHONY LEISURE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2024

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: 1013768415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2024
Last Update: March 24, 2026
Sole Proprietor: Yes

Mailing Address

938 Castle Pines Dr

Ballwin, MO 630214475

Phone: 3147077608

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.