Organization Active NPI

William G. Lesh DMD, PS

  • Dentist
  • Longview, WA
National Provider Identifier
1205173457
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60769596 Issued in WA
Legal business name
WILLIAM G. LESH DMD, PS
Doing business as
Dream Dentistry
Practice address
950 14TH Ave
Longview, WA 98632-2317
Phone
(360) 200-4924
Fax
(360) 200-4923
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Dr. William Kalob Lesh, DDS
Title
Owner
Phone
(360) 200-4924

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00007934 WA
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60769596 WA Primary

Addresses

Primary practice location

950 14TH Ave
Longview, WA 98632-2317

Mailing address

950 14TH Ave.
Longview, WA 98632
Phone (360) 200-4924

Other names 1

  • Dream Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

950 14th Ave
Longview, WA 98632
Phone (360) 200-4924

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1205173457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 14TH AVE.",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-200-4924",
            "fax_number": "360-200-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322317",
            "telephone_number": "360-200-4924",
            "fax_number": "360-200-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. LESH DMD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "LESH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KALOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-200-4924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00007934",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60769596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.