Provider Demographics
NPI:1679607105
Name:KLEMPNER, LEON S (DDS)
Entity type:Individual
Prefix:DR
First Name:LEON
Middle Name:S
Last Name:KLEMPNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 ROUTE 112 STE B
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-3635
Mailing Address - Country:US
Mailing Address - Phone:631-289-0909
Mailing Address - Fax:631-289-0918
Practice Address - Street 1:1645 ROUTE 112 STE B
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-3635
Practice Address - Country:US
Practice Address - Phone:631-289-0909
Practice Address - Fax:631-289-0918
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY329011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics