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BRANDON FREDERICK LEICKLY DDS
NPI 1164863650
Dentist - General Practice in Indianapolis, IN

Active since July 11, 2013
4939 E 82ND ST # D500, INDIANAPOLIS, IN 46250(317) 578-8900(317) 578-8935 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2021, Jan 23, 2020 (2 updates tracked since 2020).

About Brandon Frederick Leickly Dds NPPES

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

BRANDON FREDERICK LEICKLY DDS (NPI 1164863650) is an individual general practice provider in Indianapolis, Indiana, licensed in Minnesota (D14672) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1164863650
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRANDON FREDERICK LEICKLYCredential: DDS
Location Address4939 E 82ND ST # D500Indianapolis, IN 46250-5678
Mailing Address4939 E 82nd St # D500Indianapolis, IN 46250-5678 · (317) 578-8900 · Fax (317) 578-8935
Phone(317) 578-8900
Fax(317) 578-8935
Sole ProprietorNo
Enumeration DateJuly 11, 2013
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1164863650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14672
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 12012027A (IN)
4939 E 82ND ST # D500, Indianapolis, IN 46250
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Brandon Leickly's NPI number?

The NPI number for Brandon Leickly is 1164863650. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Brandon Leickly located?

Brandon Leickly practices at 4939 E 82nd St # D500, Indianapolis, IN 46250. The listed phone number is (317) 578-8900.

What is Brandon Leickly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Brandon Leickly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Alabama and 11 other insurers list Brandon Leickly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Leickly was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.