MEDICARE: DR. KELSEY LEHRER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	22DI02773100	NJ

General Provider Information

NPI Number	:	1346891561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELSEY LEHRER DMD

Provider Business Mailing Address
First Line	:	618 CHELTENA AVE
Second Line	:
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-2244
Country	:	US
Telephone Number	:	215-850-2486
Fax Number	:

Provider Business Practice Location Address
First Line	:	1517 PACKER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4910
Country	:	US
Telephone Number	:	215-462-2424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2019
Last Update Date	:	09/11/2025

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