Provider Demographics
NPI:1457453300
Name:LEFBERG, HEATH DANIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:HEATH
Middle Name:DANIEL
Last Name:LEFBERG
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 1:2 TOWN SQUARE BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-5022
Mailing Address - Country:US
Mailing Address - Phone:828-684-3305
Mailing Address - Fax:828-684-3108
Practice Address - Street 1:2 TOWN SQUARE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-5022
Practice Address - Country:US
Practice Address - Phone:828-684-3305
Practice Address - Fax:828-684-3108
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC74531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice