Bertucci, Ronald Peter

Bertucci, Ronald Peter is an individual health care provider with primary practice located at 406 Lafayette St , Gretna LA 70053-5934. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bertucci, Ronald Peter can be contacted via phone (504) 366-3052.

Contact Information

Primary practice address
406 Lafayette St Gretna LA 70053-5934
Phone: (504) 366-3052
Fax: (504) 366-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3059 Louisiana

Profile Details

NPI number 1285765545
LBN Legal business name Bertucci, Ronald Peter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285765545 NPPES
Louisiana MEDICAID 1830593

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