Organization
KEN M. LEPINSKAS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA JEANNE ANGEL (OFFICE MANAGER)
(602) 285-0005
Entity
Organization
Contact information
Practice address
1277 E MISSOURI AVE STE 108, PHOENIX, AZ 85014-2916
(602) 285-0005
(602) 274-4945
Mailing address
1277 E MISSOURI AVE STE 108, PHOENIX, AZ 85014-2916
(602) 285-0005
(602) 274-4945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336238
UNITED CONCORDIA
AZ
01
—
AZ0417740
BCBS
AZ
Enumeration date
11/21/2006
Last updated
08/22/2020
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