DR. LANCE E LESLIE III DMD, MPH
NPI 1346974581
Dentist in Chicago, IL

Active since July 13, 2022PECOS Enrolled
641 W 63RD ST, CHICAGO, IL 60621(773) 388-1600 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2025, Oct 26, 2022, Sep 8, 2022 and 1 more (4 updates tracked since 2022).

About Dr. Lance E Leslie Iii Dmd, Mph NPPES

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

DR. LANCE E LESLIE III DMD, MPH (NPI 1346974581) is an individual dentist in Chicago, Illinois, licensed in Ohio (30.027368) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1346974581
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LANCE E LESLIE IIICredential: DMD, MPH
Location Address641 W 63RD STChicago, IL 60621-2032
Mailing Address641 W 63rd StChicago, IL 60621-2032 · (773) 388-1600
Sole ProprietorNo
Enumeration DateJuly 13, 2022
Last NPPES UpdateFebruary 6, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1346974581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in OH · 30.027368 Licensed in IL · 019033899
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.

641 W 63RD ST, Chicago, IL 60621

Secondary Practice Location 1

Location 12249 Shenandoah Ave Unit 1FlSaint Louis, MO 63104-2750 · Phone (614) 323-5441

Other Identifiers 1

Medicaid019033899IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lance E Leslie Iii Dmd, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Women's Health)
641 W 63RD ST
CHICAGO, IL 60621
Case Manager/Care Coordinator
641 W 63RD ST
CHICAGO, IL 60621
Registered Nurse (Community Health)
641 W 63RD ST
CHICAGO, IL 60621
Clinic/Center (Adult Mental Health)
641 W 63RD ST, L33
CHICAGO, IL 60621
Clinic/Center (Federally Qualified Health Center (FQHC))
641 W 63RD ST
CHICAGO, IL 60621
Social Worker (Clinical)
641 W 63RD ST, L33
CHICAGO, IL 60621
Pediatrics
641 W 63RD ST
CHICAGO, IL 60621
Psychologist (Clinical)
641 W 63RD ST, SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621

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 Lance Leslie's NPI number?

The NPI number for Lance Leslie is 1346974581. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Lance Leslie located?

Lance Leslie practices at 641 W 63rd St, Chicago, IL 60621. The listed phone number is (773) 388-1600.

What is Lance Leslie's specialty?

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

Is Lance Leslie enrolled in Medicare?

Yes. Lance Leslie is registered in the Medicare PECOS enrollment system.

What insurance does Lance Leslie accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 9 other insurers list Lance Leslie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lance Leslie was last updated on February 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.