| Ronnie G. Davidson Ii Dmd Pa | |
|
134 N. Magnolia St. Mooresville NC 28115 | |
| (704) 663-1800 | |
| (704) 662-9569 |
| Full Name | Ronnie G. Davidson Ii Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 134 N. Magnolia St., Mooresville, North Carolina |
| Authorized Official Name and Position | Ronnie G. Davidson Ii (PRESIDENT) |
| Authorized Official Contact | 7046631800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronnie G. Davidson Ii Dmd Pa 134 N. Magnolia St. Mooresville NC 28115 Ph: (704) 663-1800 | Ronnie G. Davidson Ii Dmd Pa 134 N. Magnolia St. Mooresville NC 28115 Ph: (704) 663-1800 |
| NPI Number | 1528312600 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528312600 | NPI | - | NPPES |
| 9024W | Other | NC | BCBS OF NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7363 (North Carolina) | Primary |
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