Provider Demographics
NPI:1497960272
Name:WILLIAM G. LEDER, DMD, LLC
Entity Type:Organization
Organization Name:WILLIAM G. LEDER, DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:LEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-561-3300
Mailing Address - Street 1:5001 HADLEY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-1128
Mailing Address - Country:US
Mailing Address - Phone:908-561-3300
Mailing Address - Fax:908-561-1387
Practice Address - Street 1:5001 HADLEY RD
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1128
Practice Address - Country:US
Practice Address - Phone:908-561-3300
Practice Address - Fax:908-561-1387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI-179461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty