Provider Demographics
NPI:1720034788
Name:LEDENYI, LASZLO (DDS)
Entity Type:Individual
Prefix:DR
First Name:LASZLO
Middle Name:
Last Name:LEDENYI
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 1:701 OLD JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-8535
Mailing Address - Country:US
Mailing Address - Phone:919-365-5446
Mailing Address - Fax:
Practice Address - Street 1:480 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2529
Practice Address - Country:US
Practice Address - Phone:919-553-3232
Practice Address - Fax:919-553-8186
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72221223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC899018MMedicaid