Brandon Frederick Leickly, DDS

NPI #1164863650 in Indianapolis, Indiana

Provider Information

NPI Number: 1164863650
Entity Type: Individual
Name: Brandon Frederick Leickly, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 11, 2013
Last Updated: Nov 2, 2021

Practice Location

Address: 4939 E 82ND ST # D500
City: Indianapolis
State: Indiana
ZIP Code: 46250-5678
Phone: (317) 578-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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