Jerry Joseph Lebeda in Bourbonnais - Dentist
Jerry Joseph Lebeda - NPI 1609922863
Jerry Joseph Lebeda is a Dentist in Bourbonnais, Illinois. Jerry Joseph Lebeda practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerry Joseph Lebeda is 1609922863. The last update date is 2007-07-08.
Jerry Joseph Lebeda's current location address is 19 Heritage Dr, Bourbonnais, Illinois. You can contact this provider via phone number 8159333479 and fax number 8159338698. The mailing address for Jerry Joseph Lebeda is 19 Heritage Dr, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Joseph Lebeda |
|---|---|
| Address | 19 Heritage Dr, Bourbonnais, Illinois |
| Phone Number | 8159333479 |
| Fax Number | 8159338698 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1609922863 |
|---|---|
| Provider Enumeration Date | 2007-01-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19 Heritage Dr |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609141369 |
| Phone Number | 8159333479 |
| Fax Number | 8159338698 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Jerry Joseph Lebeda?
The Jerry Joseph Lebeda has been issued the NPI (National Provider Identifier) 1609922863 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jerry Joseph Lebeda is physically located?
The Jerry Joseph Lebeda is physically situated at the following address: 19 Heritage Dr, Bourbonnais, IL, 609141369.
What is Jerry Joseph Lebeda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry Joseph Lebeda's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did Jerry Joseph Lebeda receive its 1609922863 assignment?
The Jerry Joseph Lebeda was assigned its 1609922863 on 2007-01-28, which is the date when this unique identifier was issued to the organization.
When was the information related to Jerry Joseph Lebeda most recently updated or refreshed?
The details pertaining to the Jerry Joseph Lebeda, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC