OrganizationActive
Brandon Lebeck Dental Corp
NPI 1174330963 · Dental Clinic/Center · Fort Bragg, CA
Brandon Lebeck Dental Corp is a Dental Clinic/Center organization in Fort Bragg, CA (NPI 1174330963).
Provider details
- NPI number
- 1174330963
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandon Lebeck, President(408) 476-5459
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 River Dr
Fort Bragg, CA 95437-5404
Phone: (707) 964-8080
Street-level locationGet directions
Mailing address
801 River Dr
Fort Bragg, CA 95437-5404
Registry dates
- Enumerated
- 2024-12-16
- Last updated
- 2024-12-16
- Certified
- 2024-12-15
Frequently asked questions
- What is Brandon Lebeck Dental Corp's NPI number?
- Brandon Lebeck Dental Corp's National Provider Identifier (NPI) is 1174330963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brandon Lebeck Dental Corp?
- Brandon Lebeck Dental Corp is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Brandon Lebeck Dental Corp located?
- Brandon Lebeck Dental Corp's practice location on file with NPPES is 801 River Dr, Fort Bragg, CA 95437-5404.
- What is Brandon Lebeck Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Brandon Lebeck Dental Corp is (707) 964-8080.
- Who is the authorized official for Brandon Lebeck Dental Corp?
- The authorized official listed on Brandon Lebeck Dental Corp's NPPES record is Brandon Lebeck, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brandon Lebeck Dental Corp's NPI active?
- Yes — Brandon Lebeck Dental Corp's NPI (1174330963) is active in the NPPES registry as of the last update on 2024-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.