Provider Demographics
NPI:1730276635
Name:LEONARD, DANIELLE L (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:L
Last Name:LEONARD
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 1:1345 E UNIVERSITY AVE
Mailing Address - Street 2:#302
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50316-2461
Mailing Address - Country:US
Mailing Address - Phone:515-266-0655
Mailing Address - Fax:
Practice Address - Street 1:4090 WESTOWN PKWY STE B1
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6760
Practice Address - Country:US
Practice Address - Phone:515-267-0737
Practice Address - Fax:515-267-1480
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-07802122300000X, 1223G0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice