Provider Demographics
NPI:1053336842
Name:TRIPPE, LESLIE H (DDS)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:H
Last Name:TRIPPE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 PAN AMERICAN DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1960
Mailing Address - Country:US
Mailing Address - Phone:254-699-3225
Mailing Address - Fax:254-699-4647
Practice Address - Street 1:3650 CHAMBERS PASS, BLDG 3610
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:919-339-9920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice