MEDICARE: W. KALOB LESH DDS PLLC

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

General Provider Information

NPI Number	:	1164360400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	W. KALOB LESH DDS PLLC

Provider Business Mailing Address
First Line	:	950 14TH AVE
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-2317
Country	:	US
Telephone Number	:	360-200-4924
Fax Number	:	360-200-4923

Provider Business Practice Location Address
First Line	:	950 14TH AVE
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-2317
Country	:	US
Telephone Number	:	360-200-4924
Fax Number	:	360-200-4923

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	WILLIAM KALOB LESH
Credential	:	DDS
Telephone Number	:	360-200-4924

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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