Provider Demographics
NPI:1730296708
Name:LEDGAND, KENNETH H (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:H
Last Name:LEDGAND
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 1:20 DANFORTH ST
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH
Mailing Address - State:MA
Mailing Address - Zip Code:02769
Mailing Address - Country:US
Mailing Address - Phone:508-252-6327
Mailing Address - Fax:774-565-0027
Practice Address - Street 1:20 DANFORTH ST
Practice Address - Street 2:
Practice Address - City:REHOBOTH
Practice Address - State:MA
Practice Address - Zip Code:02769
Practice Address - Country:US
Practice Address - Phone:508-252-6327
Practice Address - Fax:774-565-0027
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA138951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice