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

Dr. Leslie Edward Broline, DDSMS

Individual provider Periodontics · NPI 1154427029

Dr. Leslie Edward Broline, DDSMS is a Periodontics in Austin, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

3508 Far West Blvd Ste 330
Austin, TX 78731-3041
Phone: (512) 343-9488
Fax: (512) 343-1062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 9766 (TX)

Record details

NPI number1154427029
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3508 Far West Blvd, Ste 330, Austin, TX 78731-3041

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