NPI 1003044843

Jacque V Lebeau, DMD

Practitioner General Practice Dentistry Pensacola, FL

Practice location

Address: 1401 N Palafox St, Pensacola, FL 32501-2642
Phone: (850) 434-1964
Fax: (850) 430-4123

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 6878 (FL)

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Registry record

NPI: 1003044843
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2009
Record last updated: 1 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.