Longanecker, Ronald Milton

Longanecker, Ronald Milton is an sole proprietor health care provider with primary practice located at 821 Martin Rd , Amarillo TX 79107-6813. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Longanecker, Ronald Milton can be contacted via phone (806) 376-4770.

Contact Information

Primary practice address
821 Martin Rd Amarillo TX 79107-6813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8550 Texas

Profile Details

NPI number 1336255868
LBN Legal business name Longanecker, Ronald Milton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 9th, 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 1336255868 NPPES
Texas Other 40011733 DEPT. OF PUBLIC SAFETY

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