NPI

Holly Leavengood

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DMD
Type
Individual
Enumeration date
2021-06-16
Last updated
2025-05-15

Specialties

Licenses

License GA
DN122314

Location

Practice location
233 Wes Park Dr
City
Perry GA
Postal code
31069-4829
Phone
(478) 488-3561

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Perry, GA. 384 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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