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Active NPI 1902910920 Individual Practitioner Male Practitioner

Steve Wayne Lebo , D, DS

Dentist - General Practice • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Steve Lebo, D, DS is a registered healthcare professional specializing in Dentist - General Practice in Tyler, TX. Practice services are available at 212 OLD GRANDE BLVD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

212 Old Grande Blvd.
Suite B-210

Tyler, TX 75703

Telephone 9035090505
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
84 Specialists

Practicing in Tyler, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 12586

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
007885903 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1043983364

Doctor of Dental Surgery

Dr. Bruna Kennedy , DDS

Dentist - General Practice

NPI 1174445621

Doctor of Dental Surgery

Janaki Khot

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1689551665

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 27, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2009

Registered at 212 OLD GRANDE BLVD., SUITE B-210, TYLER, TX 75703 (Tel: 9035090505)

📍
Updated Business Mailing Address May 27, 2009

Registered at 212 OLD GRANDE BLVD., SUITE B-224, TYLER, TX 75703 (Tel: 9035090505)

👤
Provider Name / Credentials Updated May 27, 2009

Recorded as STEVE LEBO, D,D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2009

Dentist (License #12586 in TX)

🟢
Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902910920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: May 27, 2009
Sole Proprietor: Yes

Mailing Address

212 Old Grande Blvd., Suite B-224

Tyler, TX 75703

Phone: 9035090505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.