Brandon Lebeck, DDS

Dentist · Fort Bragg, CA

Individual Active NPI

NPI number 1023791902

Practice location

801 River Dr
Fort Bragg, CA 95437-5404
Phone
(707) 964-8080

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NPI record

NPI
1023791902
Entity type
Individual (Type 1)
Enumeration date
August 8, 2023
Last updated
August 8, 2023
Certified
August 8, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 109077 CA

Mailing address

3500 Lee Terrace Ct
San Jose, CA 95127-4373
Phone
(408) 476-5459

About Dr. Lebeck

Brandon Lebeck, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 801 River Dr, Fort Bragg, CA 95437-5404. The NPI number 1023791902 was assigned on August 8, 2023 and the record was last updated on August 8, 2023.

Dr. Lebeck lists a license in the registry: #109077 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brandon Lebeck, DDS?

The NPI number is 1023791902.

What is the phone number of Dr. Lebeck?

The phone number listed for the practice location is (707) 964-8080.

Where is Dr. Lebeck located?

801 River Dr, Fort Bragg, CA 95437-5404.

What is the taxonomy code for Dr. Lebeck?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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