Individual
DR. JEFFREY JAMES LENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.D.
Contact information
Practice address
3006 HIGHWAY K, O FALLON, MO 63368-8675
(636) 978-8848
(636) 294-4059
Mailing address
3006 HIGHWAY K, O FALLON, MO 63368-8675
(636) 978-8848
(636) 294-4059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61712
KS
122300000X
Dentist
DDS-08864
IA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2013043911
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
812
KS
Other
Enumeration date
04/03/2014
Last updated
12/03/2019
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