Provider Demographics
NPI:1902950785
Name:LEFCHAK, MICHELE L (DMD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:L
Last Name:LEFCHAK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 BLACKSMITH RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1847
Mailing Address - Country:US
Mailing Address - Phone:215-504-5437
Mailing Address - Fax:
Practice Address - Street 1:46 BLACKSMITH RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1847
Practice Address - Country:US
Practice Address - Phone:215-504-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029297L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist