LEONARD FEDON DDS NPI 1174726822

NPI Information

  • NPI: 1174726822
  • Provider Name: LEONARD FEDON, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 5805 24 MILE RD
    SHELBY TOWNSHIP, MI
    ZIP 48316
  • Phone: (586) 781-6508

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NPI Details

Leonard Fedon, DDS is a general practice dentist in Shelby Township, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Leonard Fedon, DDS NPI is 1174726822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5805 24 MILE RD
SHELBY TOWNSHIP, MI
ZIP 48316
Phone: (586) 781-6508
Fax: (586) 677-5567

The enumeration date for this NPI number is 6/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice10941MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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