Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Wayne Leonard Sr., DMD

Individual provider General Practice Dentistry · NPI 1578678983

Dr. Jerry Wayne Leonard Sr., DMD is a General Practice Dentistry in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2614 NE 22nd Ave
Portland, OR 97212-4816
Phone: (503) 284-8114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence OR5193 (OR)

Record details

NPI number1578678983
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 19, 2006
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address2614 Ne 22nd Ave, Portland, OR 97212-4816

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