MEDICARE: DR. RONALD J. LEHANE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	42647	NY
2	1223P0300X	Periodontics	42647	NY

General Provider Information

NPI Number	:	1376516070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD J. LEHANE DDS

Provider Business Mailing Address
First Line	:	26029 UNION TPKE
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1345
Country	:	US
Telephone Number	:	718-343-7900
Fax Number	:	718-343-5123

Provider Business Practice Location Address
First Line	:	26029 UNION TPKE
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1345
Country	:	US
Telephone Number	:	718-343-7900
Fax Number	:	718-343-5123

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2006
Last Update Date	:	09/11/2025

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