Jon Douglas Lesan, DDS RPH PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC5865 Issued in NC

Practice address

200 Preston Rd
Suite a
Jacksonville, NC 28540

Phone

(910) 347-1211

Fax

(910) 347-0765

NPI assigned

Dec 4, 2006

Sex

Male

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)

Enrolled

Credentials

Physician Assistant, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144398348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 COBIA CT",
            "address_2": "SUITE A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466862",
            "telephone_number": "910-347-1211",
            "fax_number": "910-347-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PRESTON RD",
            "address_2": "SUITE A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-347-1211",
            "fax_number": "910-347-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESAN",
        "first_name": "JON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS RPH PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC5865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Lenn, RN
• Sean Patrick Leonard, M.D.
• Khye Sheng Andrei Leong, M.D.
• Karolie S Lerow, CCC-SLP
• Sydnie Rene Leroy, RD
• Aaron John Leshikar, DPM
• Erin Lesko, LPA
• Richard K Leung, M.D.,F.A.C.C.
• Kristen Michelle Leverentz, PHD
• Jennifer Marie Levine

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.