Active NPIIndividual provider

Bret Lesavoy

Dentist, Pediatric Dentistry in Philadelphia, Pennsylvania

NPI Number1649736430
Practice location
1352 South St # C4, Philadelphia, PA 19147-1858
Fax
—
Last updated
July 1, 2021

Bret Lesavoy is a Dentist, Pediatric Dentistry based in Philadelphia, PA. Bret Lesavoy practices in Philadelphia, PA. The NPI Number for Bret Lesavoy is 1649736430 and holds a License No. DS042610 (PA). The current practice location address for Bret Lesavoy is 1352 South St # C4, Philadelphia, PA 19147-1858 and can be reached out via phone at 267-909-9551.

Provider Profile Details

NPI Number
1649736430
Provider Name
Bret Lesavoy
Provider Entity Type
Individual
Gender
Male
Address
1352 South St # C4, Philadelphia, PA 19147-1858
Phone Number
267-909-9551
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
February 16, 2019
Last Update Date
July 1, 2021
Certification Date
May 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1352 South St # C4
Philadelphia, PA 19147-1858
Zip
19147-1858
Phone Number
267-909-9551
Philadelphia, PA 19147Get directions →

Provider Business Mailing Address Details

Address
3581 Sturbridge Pl
Allentown, PA 18104-1776
City
Allentown
State
PA
Zip
18104-1776
Phone Number
484-695-9512

License Information

License Number
DS042610
License State
PA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bret Lesavoy?

The NPI number of Bret Lesavoy is 1649736430. It was assigned on February 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Bret Lesavoy?

Bret Lesavoy is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in PA under license number DS042610.

Where does Bret Lesavoy practice?

The practice location is 1352 South St # C4, Philadelphia, PA 19147-1858. The office can be reached at 267-909-9551 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649736430 directly on the NPPES registry website.

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