Provider Demographics
NPI:1538225859
Name:MICHAEL A. LEDONNE, D.D.S., P.C.
Entity type:Organization
Organization Name:MICHAEL A. LEDONNE, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEDONNE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-655-3008
Mailing Address - Street 1:545 E BRUCETON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4593
Mailing Address - Country:US
Mailing Address - Phone:412-655-3008
Mailing Address - Fax:412-653-9132
Practice Address - Street 1:545 E BRUCETON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4593
Practice Address - Country:US
Practice Address - Phone:412-655-3008
Practice Address - Fax:412-653-9132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018427L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty