OrganizationActive
G. Pete Leseberg D.m.d.,p.a.
NPI 1346572435 · Oral and Maxillofacial Surgery Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1346572435
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Kamie Lund, Office Manager
- License
- B-3163 (ID)
Practice location
1550 N Crestmont Dr
Ste G
Meridian, ID 83642-2184
Phone: (208) 884-0100
Fax: (208) 884-4844
Mailing address
1550 N Crestmont Dr
Meridian, ID 83642-2184
Registry dates
- Enumerated
- 2010-02-01
- Last updated
- 2010-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.