Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Marie Leak

Individual provider Dental Assistant · NPI 1093305146

Amanda Marie Leak is a Dental Assistant in Peterson AFB, Colorado. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1055 E Stewart Ave Bldg 2018
Peterson AFB, CO 80914-2900
Phone: (719) 556-1333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1093305146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 21, 2021

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