Provider Demographics
NPI:1104072834
Name:LEHMAN, KEVIN VINCENT (DDS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:VINCENT
Last Name:LEHMAN
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 1:154 W 14TH ST
Mailing Address - Street 2:(FLOOR 4)
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7307
Mailing Address - Country:US
Mailing Address - Phone:212-777-7727
Mailing Address - Fax:212-777-7206
Practice Address - Street 1:154 W 14TH ST
Practice Address - Street 2:(FLOOR 4)
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7307
Practice Address - Country:US
Practice Address - Phone:212-777-7727
Practice Address - Fax:212-777-7206
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY0465011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice