Individual
RICHARD B LESTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
99 EDGEWOOD RD, SUITE E, ASHEVILLE, NC 28804-3575
(828) 505-3410
(828) 505-3405
Mailing address
99 EDGEWOOD RD, SUITE E, ASHEVILLE, NC 28804-3575
(828) 505-3410
(828) 505-3405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
006698
VA
1223G0001X
General Practice Dentistry
3302
LA
1223G0001X
General Practice Dentistry
Primary
7938
NC
1223G0001X
General Practice Dentistry
DN8459
FL
1223G0001X
General Practice Dentistry
DS4098
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905316
—
NC
01
—
9029X
BLUE CROSS BLUE SHIELD NC
—
Enumeration date
11/17/2006
Last updated
05/29/2013
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