MEDICARE: DR. ANTHONY PAUL LEPRE 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	8134	OK

General Provider Information

NPI Number	:	1639752900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY PAUL LEPRE DMD

Provider Business Mailing Address
First Line	:	11916 S OXFORD AVE STE 103
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-7781
Country	:	US
Telephone Number	:	918-395-8305
Fax Number	:

Provider Business Practice Location Address
First Line	:	11916 S OXFORD AVE STE 103
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-7781
Country	:	US
Telephone Number	:	918-395-8305
Fax Number	:

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

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	01/12/2026

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