Michael D Lefkove, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8685 Issued in GA

Practice address

750 N Cobb St
Ste 140
Milledgeville, GA 31061-2390

Phone

(478) 452-3768

Fax

(478) 452-2704

NPI assigned

Oct 5, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Country Dental Care PC

  • General Practice Dentistry
  • Milledgeville, GA
  • NPI 1053558049
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1811083256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COBB ST",
            "address_2": "STE 140",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612390",
            "telephone_number": "478-452-3768",
            "fax_number": "478-452-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N COBB ST",
            "address_2": "STE 140",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612390",
            "telephone_number": "478-452-3768",
            "fax_number": "478-452-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKOVE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDITIONAL NPI",
            "identifier": "1053558049",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lawton-Knox
• Rodolfo S Lazo, M.D.
• Cynthia B. Lee, DDS
• Nathan Andrew Lee
• William B Lee, DDS
• Caroline Behr Leonard, PT, DPT
• Tamara Leslie, LPC
• Ailsa Lewis Bennett
• Sankyra Lewis
• LHCG Ccxxvii, LLC

• General Practice Dentistry in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.