| Ronald F Godat Dds Ms Pc | |
|
210 Lockport Circle Kingsport TN 37664 | |
| (423) 239-3993 | |
| (423) 239-9499 |
| Full Name | Ronald F Godat Dds Ms Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 210 Lockport Circle, Kingsport, Tennessee |
| Authorized Official Name and Position | Ronald Fulton Godat (PRESIDENT) |
| Authorized Official Contact | 4232393993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald F Godat Dds Ms Pc 210 Lockport Circle Kingsport TN 37664 Ph: (423) 239-3993 | Ronald F Godat Dds Ms Pc 210 Lockport Circle Kingsport TN 37664 Ph: (423) 239-3993 |
| NPI Number | 1568561231 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568561231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DS2061 (Tennessee) | Primary |
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