DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY JOSEPH LEBEDA JR., DDS

Active Sole Proprietor

DR. JERRY JOSEPH LEBEDA JR., DDS is a Dentist healthcare provider located in BOURBONNAIS, Illinois. NPI 1609922863 is currently active in the NPPES registry. Verify at CMS.

Dentist · BOURBONNAIS, IL

Registration Details

NPI Number
1609922863
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2007 (19.537216020657 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
19 HERITAGE DR
SUITE 207
BOURBONNAIS, IL, 609141369
Browse IL providers · Browse ZIP 60914
Phone
8159333479
Fax
8159338698
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BOURBONNAIS, IL

Name Credential NPI
DR. SUSAN PATEL DDS 1780717363
DR. BERNARD EUGENE RYAN II D.D.S. 1194935759
DR. KELLY L OCONNOR DDS 1588833917
MRS. BRANDI KAYE KANER 1275706301
DR. AJAY DAS DDS 1891002994
DR. SCOTT PAUL FOGEL DDS 1679818835
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.