Organization
NORTON SHORES DENTAL PC
Active
Other names
Horizons Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEYDER D.D.S. (PRESIDENT)
(231) 780-4100
Entity
Organization
Contact information
Practice address
837 SEMINOLE RD STE 100, NORTON SHORES, MI 49441-6734
(231) 780-4100
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5031
(678) 247-7966
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/08/2015
Last updated
12/06/2016
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