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 019.033899 for General Practice Dentistry in Illinois. 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:
26 Oct, 2022
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
019.033899
General Practice Dentistry
Illinois
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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.