Vincent, Ronald D

Vincent, Ronald D is an sole proprietor health care provider with primary practice located at 306 Glenwood Ave , Grand Jct CO 81501-7579. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Vincent, Ronald D can be contacted via phone (970) 242-6623.

Contact Information

Primary practice address
306 Glenwood Ave Grand Jct CO 81501-7579
Fax: (970) 242-6627
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3450 Colorado

Profile Details

NPI number 1184767816
LBN Legal business name Vincent, Ronald D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
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 1184767816 NPPES
Colorado MEDICAID 02034502

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