Kenneth H Ledgand, DDS

Individual provider Active NPI General Practice Dentistry · Rehoboth, MA

NPI 1730296708 · NPPES record last updated Nov 6, 2015

Key facts

NPI
1730296708
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
MA13895 (MA)
Practice address
20 Danforth St
Rehoboth, MA 02769
Phone
(508) 252-6327
Fax
(774) 565-0027
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA13895MAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X MA13895 MA Yes

Addresses

Primary practice location

20 Danforth St
Rehoboth, MA 02769

Mailing address

20 Danforth St
Rehoboth, MA 02769
Phone (508) 252-6327

Other providers in Rehoboth, MA

All providers in Rehoboth, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.