Ronald Alan Grace is a Dentist in Chelyan, . Ronald Alan Grace practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ronald Alan Grace is 1801931019. The last update date is 2015-01-02.
Ronald Alan Grace's current location address is 15081 Maccorkle Ave, Chelyan, . You can contact this provider via phone number 3045953551 and fax number 3045956822. The mailing address for Ronald Alan Grace is 15081 Maccorkle Ave, Chelyan, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Alan Grace |
|---|---|
| Address | 15081 Maccorkle Ave, Chelyan, |
| Phone Number | 3045953551 |
| Fax Number | 3045956822 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801931019 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2015-01-02 |
Provider Mailing Address Detail
| Address | 15081 Maccorkle Ave |
|---|---|
| City | Chelyan |
| State | (WV) |
| Post Code | 250350040 |
| Phone Number | 3045953551 |
| Fax Number | 3045956822 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2678 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119839 | BLUE CROSS BS | ||
| 137007000 | WV | -- | |
| 119839 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identifier code issued to Ronald Alan Grace by the Centers for Medicare & Medicaid Services?
The Ronald Alan Grace has been assigned the NPI (National Provider Identifier) 1801931019. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ronald Alan Grace's facilities are situated?
The facilities of Ronald Alan Grace are physically located at the following address: 15081 Maccorkle Ave, Chelyan, WV, 250350040.
What is Ronald Alan Grace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ronald Alan Grace's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Ronald Alan Grace receive the assignment of its 1801931019 from the Centers for Medicare & Medicaid Services?
The Ronald Alan Grace was issued its 1801931019 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the Ronald Alan Grace's details last updated?
The information pertaining to the Ronald Alan Grace, including its address, specialty, and other details, was most recently updated on 2015-01-02.