Bryce Maxwell Ledner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060947 Issued in NY

Practice address

403 Fort Salonga Rd
Northport, NY 11768-3045

Phone

(631) 261-4477

Fax

(631) 261-0765

NPI assigned

Feb 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ny Metro Dental, PC

  • Dentist
  • Smithtown, NY
  • NPI 1467124297
  NPD (past)
• Richard Klein DDS, PC

  • Dentist
  • Smithtown, NY
  • NPI 1386961027
  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1780183079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HARBOR PARK DR",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211640",
            "telephone_number": "516-356-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683045",
            "telephone_number": "631-261-4477",
            "fax_number": "631-261-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDNER",
        "first_name": "BRYCE",
        "middle_name": "MAXWELL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lau, OTR/L
• Heather Lauletta, LCSW
• Lauren Lavoie
• Rebecca Lazzaro, PHD
• Rose Michell Lebrun
• Andrei Lee, LCSW
• Cathy G. Lee, CTRS
• Jason Brandon Lee, PHARMD
• Karin C Lee, PHARMACIST
• Richard L Legger, BS PHARMACY

• General Practice Dentistry in Northport, NY
• Providers in Northport, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.