Garrett, Ronald

Garrett, Ronald is an individual health care provider with primary practice located at 17605 137Th Ave , Springfield Gardens NY 11434. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Garrett, Ronald can be contacted via phone (718) 528-5949.

Contact Information

Primary practice address
17605 137Th Ave Springfield Gardens NY 11434
Phone: (718) 528-5949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 042678 New York

Profile Details

NPI number 1215028147
LBN Legal business name Garrett, Ronald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215028147 NPPES
New York MEDICAID 01360989

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