Active NPIIndividual providerSole proprietor

Mrs. Iva Leroy, DDS

Dentist, Pediatric Dentistry in West Orange, New Jersey

NPI Number1528350642
Practice location
412 Pleasant Valley Way, West Orange, NJ 07052-2988
Fax
—
Last updated
May 7, 2018

Iva Leroy is a Dentist, Pediatric Dentistry based in West Orange, NJ. Iva Leroy practices in West Orange, NJ and has the professional credentials of DDS. The NPI Number for Iva Leroy is 1528350642 and holds a License No. 22DI02569800 (NJ). The current practice location address for Iva Leroy is 412 Pleasant Valley Way, West Orange, NJ 07052-2988 and can be reached out via phone at 646-717-3573.

Provider Profile Details

NPI Number
1528350642
Provider Name
Iva Leroy
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
412 Pleasant Valley Way, West Orange, NJ 07052-2988
Phone Number
646-717-3573
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2011
Last Update Date
May 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
412 Pleasant Valley Way
West Orange, NJ 07052-2988
Zip
07052-2988
Phone Number
646-717-3573
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
34 Lorraine St
Glen Ridge, NJ 07028-2028
City
Glen Ridge
State
NJ
Zip
07028-2028
Phone Number
646-717-3573

License Information

License Number
22DI02569800
License State
NJ
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Iva Leroy, DDS?

The NPI number of Mrs. Iva Leroy, DDS is 1528350642. It was assigned on May 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Iva Leroy, DDS?

Mrs. Iva Leroy, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02569800.

Where does Mrs. Iva Leroy, DDS practice?

The practice location is 412 Pleasant Valley Way, West Orange, NJ 07052-2988. The office can be reached at 646-717-3573 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528350642 directly on the NPPES registry website.

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