Provider Demographics
NPI:1265681902
Name:LESSIG, MARGARET (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:LESSIG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 BUSINESS CENTER DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-9011
Mailing Address - Country:US
Mailing Address - Phone:904-278-7540
Mailing Address - Fax:
Practice Address - Street 1:1520 BUSINESS CENTER DR
Practice Address - Street 2:SUITE #1
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-9011
Practice Address - Country:US
Practice Address - Phone:904-278-7540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 13109122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist