ROBERT T. LESAGE (NPI# 1528085271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528085271 |
| Entity Type | Organization |
| Organization Name | ROBERT T. LESAGE |
| Other Organization Name | LESAGE DENTAL CLINIC LTD |
| Practice Address |
815 N Galena Ave Dixon IL 61021-1518 |
| Practice Telephone | 8152881418 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | DR. ROBERT THOMAS LESAGE (DENTIST) |
| Authorized Official Telephone | 8152881418 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19A13394 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| lesage dental clinic ltd | Other Name - Individual/Organization |
| Street Address |
815 N GALENA AVE |
| City | DIXON |
| State | IL |
| Zip Code | 61021-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831463355 | Robert Thomas Lesage Jr. | Dentist | 815 N Galena Ave, Dixon, IL 61021-1518 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| 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 |
|---|---|---|---|---|
| 1922276591 | Kristina L. Wiley, Dds, Inc. | Dentist | 805 N Lincoln St Ste A, Dixon, CA 95620-2172 | 2008-02-15 |
| 1518154624 | Shailee Shashi Patel | Dentist | 100 N Peoria Ave, Dixon, IL 61021-2027 | 2007-10-02 |
| 1083833941 | James O Hey Jr. | Dentist | 724 N Brinton Ave, Dixon, IL 61021-1610 | 2007-04-25 |
| 1437294790 | James D Sanderson | Dentist | 1155 Rehrmann Dr, Dixon, CA 95620-3263 | 2007-02-21 |
| 1568506616 | S. Todd Comm, D.d.s., Inc. | Dentist | 1300 N Lincoln St, Suite A, Dixon, CA 95620-2022 | 2007-02-19 |
| 1891847455 | Mark Edward German | Dentist | 123 N Hennepin Ave, Dixon, IL 61021-2010 | 2007-01-16 |
| 1982788774 | Kristina Linde Wiley | Dentist | 805 N Lincoln St, Suite A, Dixon, CA 95620-2172 | 2006-10-25 |
| 1093785016 | Thomas Edward Kruger | Dentist | 304 S Peoria Ave, Dixon, IL 61021-2918 | 2006-01-23 |
| 1306452289 | Shivani R Shah | Dentist | 1355 N Galena Ave, Dixon, IL 61021-1009 | 2020-09-16 |
| 1356781504 | Sidney Todd Comm | Dentist | 1300 N Lincoln St, Suite A, Dixon, CA 95620-2022 | 2013-07-02 |
| Find all providers in DIXON | ||||
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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.