DR. LEONARD RAY FUQUA JR. DDS, MS
NPI 1063493500
Dentist - Orthodontics and Dentofacial Orthopedics in Kingston, TN

Active since November 10, 2005
505 N KENTUCKY ST, KINGSTON, TN 37763(865) 376-4445(865) 376-4441 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leonard Ray Fuqua Jr. Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEONARD RAY FUQUA JR. DDS, MS (NPI 1063493500) is an individual orthodontics and dentofacial orthopedics provider in Kingston, Tennessee, licensed in Tennessee (DS0000002917) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1063493500
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. LEONARD RAY FUQUA JR.Credential: DDS, MS
Location Address505 N KENTUCKY STKingston, TN 37763-2630
Mailing Address505 N Kentucky StKingston, TN 37763-2630 · (865) 376-4445 · Fax (865) 376-4441
Fax(865) 376-4441
Sole ProprietorYes
Enumeration DateNovember 10, 2005
Last NPPES UpdateJuly 5, 2011
NPI 1063493500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TN · DS0000002917
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
505 N KENTUCKY ST, Kingston, TN 37763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Fuqua's NPI number?

The NPI number for Leonard Fuqua is 1063493500. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Leonard Fuqua located?

Leonard Fuqua practices at 505 N Kentucky St, Kingston, TN 37763. The listed phone number is (865) 376-4445.

What is Leonard Fuqua's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Leonard Fuqua was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.