person
Dr. Jerry Wayne Leonard SR., DMD
General Practice Dentistry in Portland, Oregon
NPI 1578678983

Jerry Wayne Leonard SR. is a General Practice Dentistry based in Portland, OR and is specialized in General Practice. Jerry Wayne Leonard SR. practices in Portland, OR and has the professional credentials of DMD. The NPI Number for Jerry Wayne Leonard SR. is 1578678983 and holds a License No. OR5193 (Oregon).

The current practice location address for Jerry Wayne Leonard SR. is 2614 Ne 22Nd Ave, Portland, OR and can be reached out via phone at 503-284-8114.

Location: 2614 Ne 22Nd Ave, Portland, OR, 97212-4816
person
Provider Profile Details
NPI Number
1578678983
Provider Name
Jerry Wayne Leonard SR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2614 Ne 22Nd Ave, Portland, OR, 97212-4816
Phone Number
503-284-8114
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2614 Ne 22Nd Ave
City
State
Zip
97212-4816
Phone Number
503-284-8114
Fax Number
person
Provider Business Mailing Address Details
Address
2614 Ne 22Nd Ave
City
State
Zip
97212-4816
Phone Number
503-284-8114
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
OR5193 (Oregon)
Definition
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.
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