Individual
RONALD PAUL LEYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7166 S CROTON HARDY DRIVE, NEWAYGO, MI 49337
(231) 652-1663
(231) 652-2259
Mailing address
7166 S CROTON HARDY DRIVE, NEWAYGO, MI 49337
(231) 652-1663
(231) 652-2259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012821
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901012821
DENTIST LICENSE
MI
01
—
5315073790
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
01/18/2007
Last updated
08/19/2020
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