Provider Demographics
NPI:1780759829
Name:MCCLAFLIN, LESLIE PAIGE (DDS)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:PAIGE
Last Name:MCCLAFLIN
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 1:6336 N LUCERNE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-3199
Mailing Address - Country:US
Mailing Address - Phone:816-587-1827
Mailing Address - Fax:816-587-0830
Practice Address - Street 1:6336 N LUCERNE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-3199
Practice Address - Country:US
Practice Address - Phone:816-587-1827
Practice Address - Fax:816-587-0830
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0147781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice