Ronald D Jessup Dmd Pc in Bristol - General Practice

Ronald D Jessup Dmd Pc - NPI 1396706669

Ronald D Jessup Dmd Pc is a General Practice in Bristol, Virginia. Ronald D Jessup Dmd Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ronald D Jessup Dmd Pc is 1396706669. The last update date is 2013-07-10.

Ronald D Jessup Dmd Pc'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 D Jessup Dmd Pc is 14245 Lee Hwy, Bristol, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ronald D Jessup Dmd Pc
Address 14245 Lee Hwy, Bristol, Virginia
Phone Number 2766288164
Fax Number 2766443145
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Jessup D Ronald
Credentials DMD
Telephone Number 2766288164

NPI Number Detail

NPI Number 1396706669
Provider Enumeration Date 2006-03-28
Last Updated Date 2013-07-10

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 General Practice
Taxonomy 1223G0001X
Licence No 1223G0001X
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
164996 VA --

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FAQs about Ronald D Jessup Dmd Pc

What is the Ronald D Jessup Dmd Pc's unique identification number?

The Ronald D Jessup Dmd Pc has been assigned the NPI (National Provider Identifier) Number 1396706669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Ronald D Jessup Dmd Pc's facilities are situated?

The facilities of Ronald D Jessup Dmd Pc are physically located at the following address: 14245 Lee Hwy, Bristol, VA, 242024317.

What is Ronald D Jessup Dmd Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ronald D Jessup Dmd Pc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396706669 to Ronald D Jessup Dmd Pc?

The Ronald D Jessup Dmd Pc received its 1396706669 assignment from the Centers for Medicare & Medicaid Services on 2006-03-28.

As of what date were the Ronald D Jessup Dmd Pc's details last updated?

The information pertaining to the Ronald D Jessup Dmd Pc, including its address, specialty, and other details, was most recently updated on 2013-07-10.

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