DR. KELLY HAMBROOK LEBEAU DMD
NPI 1104157999
Dentist in Pensacola, FL

Q: What is Kelly Lebeau's NPI number?

The NPI number for Kelly Lebeau is 1104157999. It was assigned to this individual provider in the NPPES registry on January 19, 2010.

Q: What is Kelly Lebeau's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Lebeau was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2010

2200 N PALAFOX ST, PENSACOLA, FL 32501(850) 436-4630(850) 436-2095 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelly Hambrook Lebeau Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY HAMBROOK LEBEAU DMD (NPI 1104157999) is an individual dentist in Pensacola, Florida, licensed in Florida (DN17173) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1104157999

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KELLY HAMBROOK LEBEAUCredential: DMD

Location Address2200 N PALAFOX STPensacola, FL 32501-1723

Mailing Address2200 N Palafox StPensacola, FL 32501-1723 · (850) 436-4630 · Fax (850) 436-2095

Phone(850) 436-4630

Fax(850) 436-2095

Sole ProprietorNo

Enumeration DateJanuary 19, 2010

Last NPPES UpdateApril 3, 2014

✔ NPI 1104157999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN17173

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2200 N PALAFOX ST, Pensacola, FL 32501

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Other Identifiers 1

Medicaid002324200FL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALBERTO YU M.D.

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