Provider Demographics
NPI:1700216769
Name:LECONTE, PATRICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:LECONTE
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 1:2000 PGA BLVD
Mailing Address - Street 2:STE 3120
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2722
Mailing Address - Country:US
Mailing Address - Phone:561-691-9498
Mailing Address - Fax:561-691-9308
Practice Address - Street 1:2000 PGA BLVD
Practice Address - Street 2:STE 3120
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33408-2722
Practice Address - Country:US
Practice Address - Phone:561-691-9498
Practice Address - Fax:561-691-9308
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0013284122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist