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NPI Code Detail

MEDICARE: ROCHELLE J LEPOR D.D.S.

MEDICARE: ROCHELLE J LEPOR D.D.S.
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
11223G0001XGeneral Practice Dentistry8923MD

General Provider Information

NPI Number : 1467662361
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCHELLE J LEPOR D.D.S.
Provider Business Mailing Address
First Line : 8806 SLEEPY HOLLOW LN
Second Line :
City : POTOMAC
State : MD
Zip : 20854-2582
Country : US
Telephone Number : 301-299-1607
Fax Number :
Provider Business Practice Location Address
First Line : 13823 OUTLET DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4971
Country : US
Telephone Number : 301-890-8005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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