Provider Demographics
NPI:1538896600
Name:LEHKY DENTAL PROVIDERS, LLC
Entity type:Organization
Organization Name:LEHKY DENTAL PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEHKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-864-3331
Mailing Address - Street 1:2820 W MARKET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4061
Mailing Address - Country:US
Mailing Address - Phone:330-864-3331
Mailing Address - Fax:
Practice Address - Street 1:2820 W MARKET ST STE 100
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4061
Practice Address - Country:US
Practice Address - Phone:330-864-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAIRLAWN DENTAL ARTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-08
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental