OrganizationActive
Nathan D Leiske DDS PC
NPI 1578071817 · Dental Clinic/Center · Marion, IL
Provider details
- NPI number
- 1578071817
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nathan Leiske, Owner(618) 997-0127
- License
- 019.030942 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1504 Sioux Dr
Marion, IL 62959-5209
Phone: (618) 997-0127
Street-level locationGet directions
Mailing address
1504 Sioux Dr
Marion, IL 62959-5209
Registry dates
- Enumerated
- 2018-01-22
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.