Provider Demographics
NPI:1407998073
Name:LEVEN, RONALD J (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:J
Last Name:LEVEN
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 1:3710 RIVIERA ST
Mailing Address - Street 2:SUITE G-1
Mailing Address - City:MARLOW HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1719
Mailing Address - Country:US
Mailing Address - Phone:301-423-0222
Mailing Address - Fax:301-423-0222
Practice Address - Street 1:3710 RIVIERA ST
Practice Address - Street 2:SUITE G-1
Practice Address - City:MARLOW HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20748-1719
Practice Address - Country:US
Practice Address - Phone:301-423-0222
Practice Address - Fax:301-423-0222
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD39231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice