Provider Demographics
NPI:1295945392
Name:JOHN W. LEPORE DDS PLLC
Entity type:Organization
Organization Name:JOHN W. LEPORE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LEPORE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:585-381-2200
Mailing Address - Street 1:815 AYRAULT RD
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-8962
Mailing Address - Country:US
Mailing Address - Phone:585-381-2200
Mailing Address - Fax:
Practice Address - Street 1:815 AYRAULT RD
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-8962
Practice Address - Country:US
Practice Address - Phone:585-381-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0443791223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty