Ronald Fulton Godat in Kingsport - Periodontics
Ronald Fulton Godat - NPI 1558588848
Ronald Fulton Godat is a Periodontics in Kingsport, Tennessee. Ronald Fulton Godat practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Ronald Fulton Godat is 1558588848. The last update date is 2007-07-08.
Ronald Fulton Godat's current location address is 210 Lockport Cir, Kingsport, Tennessee. You can contact this provider via phone number 4232393993 and fax number 4232399499. The mailing address for Ronald Fulton Godat is 210 Lockport Cir, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Fulton Godat |
|---|---|
| Address | 210 Lockport Cir, Kingsport, Tennessee |
| Phone Number | 4232393993 |
| Fax Number | 4232399499 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1558588848 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 210 Lockport Cir |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376645278 |
| Phone Number | 4232393993 |
| Fax Number | 4232399499 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DS2061 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ronald Fulton Godat by the Centers for Medicare & Medicaid Services?
The Ronald Fulton Godat has been assigned the NPI (National Provider Identifier) 1558588848 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Ronald Fulton Godat is physically located?
The Ronald Fulton Godat is physically situated at the following address: 210 Lockport Cir, Kingsport, TN, 376645278.
What is Ronald Fulton Godat's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ronald Fulton Godat is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Ronald Fulton Godat receive its 1558588848 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Fulton Godat was assigned its 1558588848 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date was the information pertaining to Ronald Fulton Godat, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ronald Fulton Godat, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.