Individual provider · Type 1 NPI

Glenn I. Lepor, DDS

Periodontics · Minneapolis, MN

NPI number 1417020017 Active

Practice location

3909 Silver Lake Rd NE
Minneapolis, MN 55421-4352

Call (612) 789-3573 Map

Fax (612) 789-9669

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD10650 (MN)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1417020017

Glenn I. Lepor, DDS's National Provider Identifier is 1417020017, issued on Nov 15, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.