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

Dr. Leandre Daniel Gervais, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184315152

Dr. Leandre Daniel Gervais, DDS is a Student in an Organized Health Care Education/Training Program in College Park, Georgia. Works from 3 locations. Licensed in Georgia and North Carolina.

Licensed in
GA, NC
In the registry since
2023
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

1901 Phoenix Blvd Ste 100
College Park, GA 30349-5062
Phone: (770) 991-0913
Show map & directions

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

Additional practice locations (2)

  • 341 Ponce De Leon Ave Ne, Atlanta, GA 30308-2012 — (404) 616-2440
  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-2165

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN123399 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 151483 (NC)

Record details

NPI number1184315152
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 18, 2023
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address1000 Blythe Blvd, Charlotte, Atlanta, NC 28203-5812

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