Provider Demographics
NPI:1366705972
Name:LEHR, JEFFREY RYAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:RYAN
Last Name:LEHR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:LEHR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:333 EL DORADO ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4606
Mailing Address - Country:US
Mailing Address - Phone:831-373-3068
Mailing Address - Fax:831-655-6434
Practice Address - Street 1:333 EL DORADO ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4606
Practice Address - Country:US
Practice Address - Phone:831-373-3068
Practice Address - Fax:831-655-6434
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA061390122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist