Provider Demographics
NPI:1861101024
Name:DANIEL G. LESTER DDS, PLLC
Entity type:Organization
Organization Name:DANIEL G. LESTER DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:318-443-5013
Mailing Address - Street 1:213 ANSLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3782
Mailing Address - Country:US
Mailing Address - Phone:184-435-0133
Mailing Address - Fax:318-443-5014
Practice Address - Street 1:230 HILLIARD AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3368
Practice Address - Country:US
Practice Address - Phone:318-443-5013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty