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Dr. Jonathan Blake Leist, DDS
General Practice Dentistry in Charlottesville, Virginia
NPI 1649798935

Jonathan Blake Leist is a General Practice Dentistry based in Manakin Sabot, VA and is specialized in General Practice. Jonathan Blake Leist practices in Charlottesville, VA and has the professional credentials of DDS. The NPI Number for Jonathan Blake Leist is 1649798935 and holds a License No. 0401415730 (Virginia).

The current practice location address for Jonathan Blake Leist is 1138 Rose Hill Dr Ste 400, Charlottesville, VA and can be reached out via phone at 434-972-6233.

Location: 1138 Rose Hill Dr Ste 400, Charlottesville, VA, 23103-2134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649798935
Provider Name
Jonathan Blake Leist
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1138 Rose Hill Dr Ste 400, Charlottesville, VA, 23103-2134
Phone Number
434-972-6233
Fax Number
Provider Enumeration Date
09/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1138 Rose Hill Dr Ste 400
City
Charlottesville
State
Virginia
Zip
22903-5128
Phone Number
434-972-6233
Fax Number
person
Provider Business Mailing Address Details
Address
1138 Rose Hill Dr Ste 400
City
Charlottesville
State
Virginia
Zip
22903-5128
Phone Number
434-972-6233
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401415730 (Virginia)
Definition
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.
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