Individual provider Active NPI

Walter Prudden Leonard, DDS

  • General Practice Dentistry
  • Longwood, FL
National Provider Identifier
1154318707
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN7286 Issued in FL
Practice address
2941 W State Road 434
Suite 200
Longwood, FL 32779-4415
Phone
(407) 788-1778
Fax
(407) 788-7452
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN7286 FL Primary

Addresses

Primary practice location

2941 W State Road 434
Suite 200
Longwood, FL 32779-4415

Mailing address

2941 W State Road 434
Suite 200
Longwood, FL 32779-4415
Phone (407) 788-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN7286FLMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154318707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 W STATE ROAD 434",
            "address_2": "SUITE 200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794415",
            "telephone_number": "407-788-1778",
            "fax_number": "407-788-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 W STATE ROAD 434",
            "address_2": "SUITE 200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794415",
            "telephone_number": "407-788-1778",
            "fax_number": "407-788-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "WALTER",
        "middle_name": "PRUDDEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.