IndividualActive
Jon Lebsack, D.D.S.
NPI 1114931359 · Oral and Maxillofacial Surgery (Dentist) · Washington, MO
Provider details
- NPI number
- 1114931359
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 014793 (MO)
Specialties & taxonomies
Dental Providers
Practice location
851 E 5th St
Ste. 320
Washington, MO 63090-3135
Phone: (636) 239-7150
Approximate (ZIP-level) locationGet directions
Mailing address
851 E 5th St
Washington, MO 63090-3135
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.