Provider Demographics
NPI:1619022498
Name:LESSER, JUDD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUDD
Middle Name:
Last Name:LESSER
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 1:22 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2016
Mailing Address - Country:US
Mailing Address - Phone:516-295-0181
Mailing Address - Fax:516-295-0759
Practice Address - Street 1:22 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2016
Practice Address - Country:US
Practice Address - Phone:516-295-0181
Practice Address - Fax:516-295-0759
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY43688122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist