Provider Demographics
NPI:1629184627
Name:CIUFFREDA, LEONARD R (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:R
Last Name:CIUFFREDA
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 1:215 GORDONS CORNER RD
Mailing Address - Street 2:2E
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3351
Mailing Address - Country:US
Mailing Address - Phone:732-792-0605
Mailing Address - Fax:732-792-1220
Practice Address - Street 1:215 GORDONS CORNER RD
Practice Address - Street 2:2E
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3351
Practice Address - Country:US
Practice Address - Phone:732-792-0605
Practice Address - Fax:732-792-1220
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI019464001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice