Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Lebeck Dental Corp

Organization Dental Clinic/Center · NPI 1174330963

Brandon Lebeck Dental Corp is a Dental Clinic/Center in Fort Bragg, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

801 River Dr
Fort Bragg, CA 95437-5404
Phone: (707) 964-8080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1174330963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Lebeck — President · (408) 476-5459
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 15, 2024
Mailing address801 River Dr, Fort Bragg, CA 95437-5404