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

Brandon Frederick Leickly, DDS

Individual provider Dentist · NPI 1164863650

Brandon Frederick Leickly, DDS is a Dentist in Indianapolis, Indiana. Licensed in Indiana and Minnesota. Registered with an NPI since 2013.

Licensed in
IN, MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4939 E 82nd St # D500
Indianapolis, IN 46250-5678
Phone: (317) 578-8900
Fax: (317) 578-8935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D14672 (MN)
Dentist Taxonomy 122300000X · Licence 12012027A (IN)

Record details

NPI number1164863650
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 11, 2013
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address4939 E 82nd St # D500, Indianapolis, IN 46250-5678

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