Most Relevant Information
Provider Data
| NPI Number: | 1003598780 |
| Provider Name: | TAYLOR LYN LEINDECKER RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 2023030442 |
Most Important Dates
| Enumeration Date: | 08/02/2023 |
| Last Updated: | 06/07/2024 |
Provider Practice Location
141 COMMUNICATION DR
HANNIBAL
MO
634013670
Practice Location Phone/Fax
| Phone: | 5736031460 |
| Fax: |
Provider Mailing Location
1601 OLD SOUTH RIVER RD
SAINT CHARLES
MO
633034120
Provider Mailing Phone/Fax
| Phone: | 6362241210 |
| Fax: | 6362461008 |