Provider Demographics
NPI:1508868076
Name:LEDONNE, MICHAEL ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:LEDONNE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:545 E BRUCETON RD
Mailing Address - Street 2:
Mailing Address - City:PGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4521
Mailing Address - Country:US
Mailing Address - Phone:412-655-3008
Mailing Address - Fax:412-653-9132
Practice Address - Street 1:545 E BRUCETON RD
Practice Address - Street 2:
Practice Address - City:PGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4521
Practice Address - Country:US
Practice Address - Phone:412-655-3008
Practice Address - Fax:412-653-9132
Is Sole Proprietor?:No
Enumeration Date:2005-08-13
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018427L1223P0221X
NY0609801223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry