MEDICARE: DR. RONALD LEADER 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	29860	FL

General Provider Information

NPI Number	:	1437242757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD LEADER DDS

Provider Business Mailing Address
First Line	:	2828 S MCCALL RD STE 24
Second Line	:
City	:	ENGLEWOOD
State	:	FL
Zip	:	34224-9517
Country	:	US
Telephone Number	:	941-474-2223
Fax Number	:	941-474-2603

Provider Business Practice Location Address
First Line	:	2828 S MCCALL RD STE 24
Second Line	:
City	:	ENGLEWOOD
State	:	FL
Zip	:	34224-9517
Country	:	US
Telephone Number	:	941-474-2223
Fax Number	:	941-474-2603

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

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	11/04/2025

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