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NPI Code Detail

MEDICARE: DR. JOHN DESPAIN LEBLANC DDS

MEDICARE:  DR. JOHN DESPAIN LEBLANC  DDS
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 Dentistry10611TX

General Provider Information

NPI Number : 1568462653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DESPAIN LEBLANC DDS
Provider Business Mailing Address
First Line : 2106 N 11TH ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77703-4912
Country : US
Telephone Number : 409-898-0178
Fax Number : 409-898-8192
Provider Business Practice Location Address
First Line : 2106 N 11TH ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77703-4912
Country : US
Telephone Number : 409-898-0178
Fax Number : 409-898-8192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN DESPAIN LEBLANC DDS” Practice Location

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