Provider Demographics
NPI:1316966237
Name:NORVELL, LESTER RICE (DDS)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:RICE
Last Name:NORVELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2138 HELTON DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1449
Mailing Address - Country:US
Mailing Address - Phone:256-766-5112
Mailing Address - Fax:256-760-1063
Practice Address - Street 1:2138 HELTON DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1449
Practice Address - Country:US
Practice Address - Phone:256-766-5112
Practice Address - Fax:256-760-1063
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3058CS1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice