GEORGE LESEBERG, D.M.D

Oral and Maxillofacial Surgery (Dentist) · PORTLAND, OR

Individual Active Opted out of Medicare NPI 1417964321

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112XD6668OR
Oral and Maxillofacial Surgery (Dentist)1223S0112XD-3163-OSID

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2014-06-09 through 2028-06-09.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.