Provider Demographics
NPI:1073807590
Name:LEFFLER, WILLIAM WARREN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WARREN
Last Name:LEFFLER
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 1:102 HARDING WAY W STE 102
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-1726
Mailing Address - Country:US
Mailing Address - Phone:419-468-4285
Mailing Address - Fax:419-468-6724
Practice Address - Street 1:102 HARDING WAY W STE 102
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-1726
Practice Address - Country:US
Practice Address - Phone:419-468-4285
Practice Address - Fax:419-468-6724
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0234801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice