Angelita Cleofe Lecras, DDS
Individual provider Active NPI Dentist · Troutman, NC
NPI 1851326359 · NPPES record last updated Oct 28, 2014
Key facts
- NPI
- 1851326359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7554 (NC)
- Practice address
- 204 South Main Street
Troutman, NC 28166 - Phone
- (704) 528-5665
- Fax
- (704) 528-5670
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7554 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelita C. Le Cras, DDS, PA | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7554 | NC | Yes |
Addresses
Primary practice location
204 South Main Street
Troutman, NC 28166
Mailing address
204 South Main Street
Troutman, NC 28166
Phone (704) 528-5665
Other providers in Troutman, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.