Provider Demographics
NPI:1093944456
Name:LESMEISTER, STEVEN G (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:LESMEISTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 2ND ST SW
Mailing Address - Street 2:P.O. BOX 265
Mailing Address - City:MCINTOSH
Mailing Address - State:MN
Mailing Address - Zip Code:56542
Mailing Address - Country:US
Mailing Address - Phone:218-563-3001
Mailing Address - Fax:218-563-3002
Practice Address - Street 1:105 2ND STREET SW
Practice Address - Street 2:
Practice Address - City:MCINTOSH
Practice Address - State:MN
Practice Address - Zip Code:56542
Practice Address - Country:US
Practice Address - Phone:218-563-3001
Practice Address - Fax:218-563-3002
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6426122300000X
MND128451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist