Provider Demographics
NPI:1952320665
Name:LE JEUNE, RONALD CHARLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CHARLES
Last Name:LE JEUNE
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 1:916 DESIRE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-6250
Mailing Address - Country:US
Mailing Address - Phone:504-945-1439
Mailing Address - Fax:
Practice Address - Street 1:812 PARK AVE
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4921
Practice Address - Country:US
Practice Address - Phone:985-624-7400
Practice Address - Fax:985-624-7425
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO69301223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health