Ronald Dean Jessup is a Dentist in Bristol, Virginia. Ronald Dean Jessup practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ronald Dean Jessup is 1184813164. The last update date is 2010-10-28.
Ronald Dean Jessup's current location address is 14245 Lee Hwy, Bristol, Virginia. You can contact this provider via phone number 2766288164 and fax number 2766443145. The mailing address for Ronald Dean Jessup is 14245 Lee Hwy, Bristol, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Dean Jessup |
|---|---|
| Address | 14245 Lee Hwy, Bristol, Virginia |
| Phone Number | 2766288164 |
| Fax Number | 2766443145 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1184813164 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2010-10-28 |
Provider Mailing Address Detail
| Address | 14245 Lee Hwy |
|---|---|
| City | Bristol |
| State | Virginia (VA) |
| Post Code | 242024317 |
| Phone Number | 2766288164 |
| Fax Number | 2766443145 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 401008645 |
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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 |
|---|---|---|---|
| 7800568 | VA | -- | |
| 701762 | VA | UNITED CONCORDIA | |
| 041008645A | VA | DELTA DENTAL |
Post Comment/ Review Below
What is the Ronald Dean Jessup's 1184813164?
The Ronald Dean Jessup's NPI (National Provider Identifier) Number is 1184813164. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ronald Dean Jessup?
The Ronald Dean Jessup is physically situated at 14245 Lee Hwy, in the city of Bristol, state of VA, with the postal code 242024317.
What is Ronald Dean Jessup's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ronald Dean Jessup is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Ronald Dean Jessup receive its 1184813164 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Dean Jessup was assigned its 1184813164 on 2007-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ronald Dean Jessup's details last updated?
The information pertaining to the Ronald Dean Jessup, including its address, specialty, and other details, was most recently updated on 2010-10-28.