Organization
HOMETOWN PEDIATRIC CARE, PA
Active
Other names
Stephen M. Dentler, DO, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILLON KELBY LESAK DO (OWNER/PEDIATRICIAN)
(361) 579-1333
Entity
Organization
Contact information
Practice address
9410 NE ZAC LENTZ PKWY,, SUITE 202, VICTORIA, TX 77904-3108
(361) 579-1333
(361) 579-1334
Mailing address
9410 NE ZAC LENTZ PKWY,, SUITE 202, VICTORIA, TX 77904-3108
(361) 579-1333
(361) 579-1334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J4080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087CL
BLUE CROSS BLUE SHIELD
TX
01
—
10049506
AMERIGROUP
TX
05
—
111836604
—
TX
05
—
111836605
—
TX
01
—
5965594
AETNA
TX
Enumeration date
10/05/2007
Last updated
06/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up