Organization Active NPI

Lesavoy Pediatric Dentistry LLC

  • Dental Clinic/Center
  • Allentown, PA
National Provider Identifier
1205524998
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LESAVOY PEDIATRIC DENTISTRY LLC
Practice address
1150 Glenlivet Dr Ste C41
Allentown, PA 18106-3119
Phone
(484) 695-9512
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Dr. Bret Lesavoy, DMDNPI 1649736430
Title
Pediatric Dentist/Owner
Phone
(484) 695-9512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1150 Glenlivet Dr Ste C41
Allentown, PA 18106-3119

Mailing address

1150 Glenlivet Dr Ste C41
Allentown, PA 18106-3119

National Provider Directory

National Provider Directory

Locations

1150 Glenlivet Dr
Ste C41
Allentown, PA 18106
Phone (484) 695-9512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1205524998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR STE C41",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR STE C41",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063119",
            "telephone_number": "484-695-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESAVOY PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "LESAVOY",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "484-695-9512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.