Provider Demographics
NPI:1275386039
Name:LEDNER, AMANDA (DMD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:LEDNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4624 CENTRAL PARK BLVD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3436
Mailing Address - Country:US
Mailing Address - Phone:303-945-2699
Mailing Address - Fax:
Practice Address - Street 1:4624 CENTRAL PARK BLVD UNIT 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3436
Practice Address - Country:US
Practice Address - Phone:303-945-2699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002062711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice