Provider Demographics
NPI:1346367166
Name:LEFEVRE, DELAYNE MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:DELAYNE
Middle Name:MARIE
Last Name:LEFEVRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S TIGER DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47396-9385
Mailing Address - Country:US
Mailing Address - Phone:765-759-9451
Mailing Address - Fax:765-759-8749
Practice Address - Street 1:5520 PEBBLE VILLAGE LANE
Practice Address - Street 2:STE 200
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062
Practice Address - Country:US
Practice Address - Phone:317-867-3335
Practice Address - Fax:317-867-3337
Is Sole Proprietor?:No
Enumeration Date:2007-03-25
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010831A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist