Davidson, Ronnie Glynn
Davidson, Ronnie Glynn is an individual health care provider with primary practice located at 134 N Magnolia Street , Mooresville NC 28115. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davidson, Ronnie Glynn can be contacted via phone (704) 663-1800.Contact Information
Primary practice address
134 N Magnolia Street
Mooresville NC 28115
Phone: (704) 663-1800
Fax: (704) 662-9569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7363 | North Carolina |
Profile Details
| NPI number | 1811058969 |
|---|---|
| LBN Legal business name | Davidson, Ronnie Glynn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811058969 | NPPES |
| North Carolina | Other | 9024W | BCBS OF NC |
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