Provider Demographics
NPI:1225176589
Name:RONALD I LEFTON DDS PC
Entity Type:Organization
Organization Name:RONALD I LEFTON DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:LEFTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-467-6000
Mailing Address - Street 1:4732 LARKSPUR SQUARE
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 LARKSPUR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-467-6000
Practice Address - Fax:757-467-8513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty