Ronald Michael Short in Lake Charles - General Practice
Ronald Michael Short - NPI 1023138849
Ronald Michael Short is a General Practice in Lake Charles, Louisiana. Ronald Michael Short practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ronald Michael Short is 1023138849. The last update date is 2007-07-09.
Ronald Michael Short's current location address is 630 W Prien Lake Rd, Lake Charles, Louisiana. You can contact this provider via phone number 3373101800 and fax number 3373101143. The mailing address for Ronald Michael Short is 630 W Prien Lake Rd, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Michael Short |
|---|---|
| Address | 630 W Prien Lake Rd, Lake Charles, Louisiana |
| Phone Number | 3373101800 |
| Fax Number | 3373101143 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023138849 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 630 W Prien Lake Rd |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706010700 |
| Phone Number | 3373101800 |
| Fax Number | 3373101143 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2380 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1823805 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ronald Michael Short by the Centers for Medicare & Medicaid Services?
The Ronald Michael Short has been assigned the NPI (National Provider Identifier) 1023138849 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ronald Michael Short?
The Ronald Michael Short is situated at 630 W Prien Lake Rd, in the city of Lake Charles, state of LA, with the zip code 706010700.
What is the Ronald Michael Short's area of specialization and corresponding taxonomy classification?
The Ronald Michael Short's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1023138849 to Ronald Michael Short?
The Centers for Medicare & Medicaid Services assigned the 1023138849 to Ronald Michael Short on 2007-03-29.
When was the information regarding Ronald Michael Short most recently updated?
The details pertaining to the Ronald Michael Short, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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