Most Relevant Information
Provider Data
| NPI Number: | 1003813304 |
| Provider Name: | LELAND W. NEBEKER D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 4962 |
Most Important Dates
| Enumeration Date: | 06/30/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2233 WILLAMETTE ST
BUILDING E
EUGENE
OR
974052890
Practice Location Phone/Fax
| Phone: | 5416874867 |
| Fax: | 5416869620 |
Provider Mailing Location
2233 WILLAMETTE ST
BUILDING E
EUGENE
OR
974052890
Provider Mailing Phone/Fax
| Phone: | 5416874867 |
| Fax: | 5416869620 |