Provider Demographics
NPI:1134243041
Name:LEFF, LEONARD SCOTT (DMD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:SCOTT
Last Name:LEFF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MANGER RD
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1714
Mailing Address - Country:US
Mailing Address - Phone:973-669-0751
Mailing Address - Fax:
Practice Address - Street 1:515 VALLEY RD
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5234
Practice Address - Country:US
Practice Address - Phone:973-731-8313
Practice Address - Fax:973-731-4504
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI15101122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist