James Alan Lebouef, DDS
Individual provider Active NPI Dentist · King, WI
NPI 1982846283 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1982846283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4910 (WI)
- Practice address
- N2665 County Road QQ
Wisconsin Veterans Home/ Dental Clinic
King, WI 54946-0600 - Phone
- (715) 258-5586
- NPI assigned
- Apr 1, 2009
- Sex
- Male
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4910 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lebouef Family Dental | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60602 | CA | |
| Dentist | 122300000X | 4910 | WI | Yes |
Addresses
Primary practice location
N2665 County Road QQ
Wisconsin Veterans Home/ Dental Clinic
King, WI 54946-0600
Mailing address
172 Christy St
Amherst, WI 54406-9389
Phone (715) 824-3300
Other providers in King, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. 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.