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BRANDON LEBECK DENTAL CORP
NPI 1174330963
Clinic/Center - Dental in Fort Bragg, CA

Active since December 16, 2024
801 RIVER DR, FORT BRAGG, CA 95437(707) 964-8080 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brandon Lebeck Dental Corp NPPES

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

BRANDON LEBECK DENTAL CORP (NPI 1174330963) is a healthcare organization registered as a dental in Fort Bragg, California and active in the NPI registry since December 2024. The organization lists Brandon Lebeck, President, as its authorized official.

NPPES Registry Identity

NPI1174330963
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRANDON LEBECK DENTAL CORP
Location Address801 RIVER DRFort Bragg, CA 95437-5404
Mailing Address801 River DrFort Bragg, CA 95437-5404 · (707) 964-8080
Phone(707) 964-8080
Organization SubpartNo
Authorized OfficialBrandon LebeckPresident · (408) 476-5459
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 15, 2024
✔ NPI 1174330963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
801 RIVER DR, Fort Bragg, CA 95437
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Other Providers at the Same Location NPPES 4

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

DR. BRANDON LEBECK DDS
Dentist
801 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 964-8080
AMELIA HANNEY DDS
Dentist (General Practice)
801 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 964-8080
DR. ROBERT DONALD BRUCE DDS
Dentist
801 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 964-8080
AMY RICHTER RDH
Dental Hygienist
801 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 964-8080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Lebeck Dental Corp's NPI number?

The NPI number for Brandon Lebeck Dental Corp is 1174330963. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Brandon Lebeck Dental Corp located?

Brandon Lebeck Dental Corp is located at 801 River Dr, Fort Bragg, CA 95437. The listed phone number is (707) 964-8080.

What is Brandon Lebeck Dental Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Brandon Lebeck Dental Corp was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.