| James W. Lepczyk D.d.s., P.c. | |
|
31100 Telegraph Rd Suite 100 Bingham Farms MI 48025-4363 | |
| (248) 642-2115 | |
| (248) 642-6387 |
| Full Name | James W. Lepczyk D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 31100 Telegraph Rd, Bingham Farms, Michigan |
| Authorized Official Name and Position | James W. Lepczyk (PRESIDENT) |
| Authorized Official Contact | 2486422115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James W. Lepczyk D.d.s., P.c. 31100 Telegraph Rd Suite 100 Bingham Farms MI 48025-4363 Ph: (248) 642-2115 | James W. Lepczyk D.d.s., P.c. 31100 Telegraph Rd Suite 100 Bingham Farms MI 48025-4363 Ph: (248) 642-2115 |
| NPI Number | 1053328245 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5799868394 |
|---|---|
| Medicare Enrollment ID | O20080205000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053328245 | NPI | - | NPPES |
| 1246219 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11914 (Michigan) | Primary |
| Provider Name | James W Lepczyk |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1881792786 PECOS PAC ID: 2264515865 Enrollment ID: I20080205000541 |
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