Provider Demographics
NPI:1114065463
Name:LEFTON, RONALD IRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:IRA
Last Name:LEFTON
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 1:4732 PRINCESS ANNE ROAD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462
Mailing Address - Country:US
Mailing Address - Phone:757-467-6000
Mailing Address - Fax:757-467-8513
Practice Address - Street 1:4732 PRINCESS ANNE RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6405
Practice Address - Country:US
Practice Address - Phone:757-467-6000
Practice Address - Fax:757-467-8513
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005132122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist