NPI
Brandon Lebeck
NPI 1023791902
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2023-08-08
- Last updated
- 2023-08-08
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Specialties
Licenses
- License CA
- 109077
Location
- Practice location
- 801 River Dr
- City
- Fort Bragg CA
- Postal code
- 95437-5404
- Phone
- (707) 964-8080
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fort Bragg, CA. 377 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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