Provider Demographics
NPI:1225127780
Name:MUENINGHOFF, LEONARD ANTHONY (DDS)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:ANTHONY
Last Name:MUENINGHOFF
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 1:5008 STONE BRIDGE LANE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3045
Mailing Address - Country:US
Mailing Address - Phone:205-991-7352
Mailing Address - Fax:
Practice Address - Street 1:1919 7TH AVENUE SOUTH
Practice Address - Street 2:UAB SCHOOL OF DENTISTRY
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0007
Practice Address - Country:US
Practice Address - Phone:205-975-1924
Practice Address - Fax:205-975-2883
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL41101223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics