Provider Demographics
NPI:1437242757
Name:LEADER, RONALD (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:LEADER
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 1:2828 S MCCALL RD STE 24
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-9517
Mailing Address - Country:US
Mailing Address - Phone:941-474-2223
Mailing Address - Fax:941-474-2603
Practice Address - Street 1:2828 S MCCALL RD STE 24
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-9517
Practice Address - Country:US
Practice Address - Phone:941-474-2223
Practice Address - Fax:941-474-2603
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL298601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice