Individual provider · Type 1 NPI
Jon Patrick Lebsack, DDS
Oral and Maxillofacial Surgery (Dentist) · Washington, MO
NPI number
1114931359
Active
Practice location
851 E 5th St, Ste. 320
Washington, MO 63090-3135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 014793 (MO) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1114931359
Jon Patrick Lebsack, DDS's National Provider Identifier is 1114931359, issued on Jul 27, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Washington, MO. The record was last updated on Jul 8, 2007.