MEDICARE: MR. TONY LEBAR 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
1	1223G0001X	General Practice Dentistry	30576	CA

General Provider Information

NPI Number	:	1538372909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TONY LEBAR D.D.S.

Provider Business Mailing Address
First Line	:	2681 ESTELLA DR
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051
Country	:	US
Telephone Number	:	408-296-3561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 SCOTT BLVD
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051
Country	:	US
Telephone Number	:	408-246-0300
Fax Number	:

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	03/22/2026

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