National Provider Identifier

John William Lefevre, DDS

John William Lefevre, DDS is listed in the NPPES registry with a primary specialty of Dentist in Clyde, NY and a listed phone number of (315) 923-3231.

NPI 1104984723Clyde, NYDentist

Profile Overview

NPI
1104984723
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
December 05, 2006
Last Updated
July 08, 2007

Practice Location

  • 105 Glasgow St
  • Clyde, NY 14433-0133

Phone: (315) 923-3231

Mailing Address

  • PO Box 133
  • 105 Glasgow St
  • Clyde, NY 14433-0133

Specialties

  • Dentist (122300000X)
Full Record
NPI
1104984723
Entity Type
Individual
Last Name
Lefevre
First Name
John
Middle Name
William
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
PO Box 133
Mailing Address Line 2
105 Glasgow St
Mailing City
Clyde
Mailing State
NY
Mailing ZIP Code
14433-0133
Mailing Country
US
Mailing Phone
(315) 923-3231
Practice Street Address
105 Glasgow St
Practice City
Clyde
Practice State
NY
Practice ZIP Code
14433-0133
Practice Country
US
Practice Phone
(315) 923-3231
Enumeration Date
December 05, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)
Other Identifiers
023269 (NY, License #), 00447521 (NY)