Dr. Lance E Leslie Iii is a Chicago, Illinois based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Lance E Leslie Iii is
30.027368 for Dentistry in Ohio. His current practice location is
641 W 63rd St, Chicago. Patients can reach him at
773-388-1600.
Dr. Lance E Leslie Iii is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Lance E Leslie Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Lance E Leslie Iii |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD, MPH |
| Accepts Medicare Assignment: | No |
| Practice Address: | 641 W 63rd St, Chicago, Illinois, 60621-2032 |
| Phone: | 773-388-1600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1346974581 |
| NPI Enumeration Date: | 13 Jul, 2022 |
| NPI Last Update On: | 06 Feb, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lance E Leslie Iii are as mentioned below.
| License Number | Specialization | State | Status | |
| 30.027368 | Dentistry | Ohio | Primary | |
| 019033899 | Dentistry | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lance E Leslie Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 019033899 | Medicaid | Illinois | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 641 W 63rd St, Chicago, Illinois |
| Zip: | 60621-2032 |
| Phone Number: | 773-388-1600 |
Patients can reach Dr. Lance E Leslie Iii at
641 W 63rd St, Chicago, Illinois or can
call to book an appointment on 773-388-1600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.