# KEN M. LEPINSKAS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346315058
- **Authorized official:** REBECCA JEANNE ANGEL (OFFICE MANAGER)
- **Authorized official phone:** (602) 285-0005

## Contact information

- **Practice address:** 1277 E MISSOURI AVE STE 108, PHOENIX, AZ 85014-2916
- **Practice address phone:** (602) 285-0005
- **Practice address fax:** (602) 274-4945
- **Mailing address:** 1277 E MISSOURI AVE STE 108, PHOENIX, AZ 85014-2916
- **Mailing address phone:** (602) 285-0005
- **Mailing address fax:** (602) 274-4945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 336238 | UNITED CONCORDIA | AZ |
| 01 | — | AZ0417740 | BCBS | AZ |