DR. JULIE K MUDIE LEZOTTE (NPI# 1376754804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376754804 |
| Entity Type | Individual |
| Full Name | DR. JULIE K MUDIE LEZOTTE |
| Credential | D.D.S. |
| Practice Address |
1535 N Leroy St Suite F Fenton MI 48430-2791 |
| Practice Telephone | 8106295454 |
| Mailing Telephone | 8106295454 |
| Mailing Fax Number | 8106298932 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901017712 | MI | Dental Providers |
| Street Address |
1535 N LEROY ST SUITE F |
| City | FENTON |
| State | MI |
| Zip Code | 48430-2791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689754350 | Juan Alvarado | Optometrist | 1535 N Leroy St, Fenton, MI 48430-2791 | 2006-10-17 |
| 1750664991 | Fenton Vision Sensory and Learning Center Pllc | Clinic/Center | 1535 N Leroy St, Suite D, Fenton, MI 48430-2791 | 2011-09-23 |
| 1013122639 | Doctors Alvarado, P.C. | Optometrist | 1535 N Leroy St, Suite D, Fenton, MI 48430-2791 | 2007-05-14 |
| 1508920919 | Douglas W White | Dentist | 1535 N Leroy St, Ste F, Fenton, MI 48430-2791 | 2006-12-20 |
| 1366523086 | Cynthia Louise Cupal | Optometrist | 1535 N Leroy St, Fenton, MI 48430-2791 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316570526 | Fenton Smiles Pllc | Dentist | 3309 W Silver Lake Rd, Fenton, MI 48430-1333 | 2020-02-16 |
| 1386904050 | Lisa Diane Baier | Dentist | 1535 N Leroy St Ste F, Fenton, MI 48430-2791 | 2012-05-29 |
| 1225346968 | Sonoma Dental Group, P.C. | Dentist | 2425 Owen Rd, Suite A, Fenton, MI 48430-1790 | 2010-09-15 |
| 1437371366 | Jessica Gaul | Dentist | 1535 N. Leroy St, Suite F, Fenton, MI 48430 | 2007-05-02 |
| 1043335763 | Tracy Michael Nemecek | Dentist | 111 S Walnut St, Fenton, MI 48430 | 2007-03-20 |
| 1376671420 | Thomas M. Osmun | Dentist | 170d Gravois Bluffs Cir, Fenton, MO 63026-7712 | 2007-03-01 |
| 1174665665 | Drs. Mesh, P.C. | Dentist | 15555 Silver Pkwy, Fenton, MI 48430-3445 | 2007-02-13 |
| 1316089394 | Thomas F. Kemlage | Dentist | 1576 Smizer Station Rd., Fenton, MO 63026-3290 | 2007-02-13 |
| 1902974769 | Kurt Richard Morgester | Dentist | 2578 Gladiator Dr, Fenton, MO 63026-2285 | 2006-12-01 |
| 1174697668 | Karl Heinz Gruendl | Dentist | 11 Green Valley Dr, Fenton, MO 63026-5045 | 2006-11-17 |
| Find all providers in FENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.