Lesley Olivia Tenn, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18600 Issued in FL

Practice address

1242 NW 141St Ave
Pembroke Pines, FL 33028-2367

Phone

(954) 801-0125

Fax

(954) 433-8218

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1063746741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 NW 141ST AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282367",
            "telephone_number": "954-801-0125",
            "fax_number": "954-433-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 NW 141ST AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282367",
            "telephone_number": "954-801-0125",
            "fax_number": "954-433-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENN",
        "first_name": "LESLEY",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.