Individual provider · Type 1 NPI

George Pete Leseberg, D.M.D

Oral and Maxillofacial Surgery (Dentist) · Portland, OR

NPI number 1417964321 Active

Practice location

700 NE Multnomah St, Ste 840
Portland, OR 97232

Fax (503) 239-4075

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XD-3163-OS (ID)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD6668 (OR)

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 1417964321

George Pete Leseberg, D.M.D's National Provider Identifier is 1417964321, issued on Aug 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portland, OR. The record was last updated on Jun 17, 2015.