National Provider Identifier Database

G PETE LESEBERG DMDPA
Oral and Maxillofacial Surgery

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.


Contact Information

G. PETE LESEBERG D.M.D.,P.A.
1550 N CRESTMONT DR
STE G
MERIDIAN, ID83642-2184
Phone: 208-884-0100
Fax: 208-884-4844
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for G. PETE LESEBERG D.M.D.,P.A.

NPI Number 1346572435
Legal business name
LBN
G. PETE LESEBERG D.M.D.,P.A.
Authorized official KAMIE LUND - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/01/2010
Last updated 02/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: B-3163

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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