| Ronnie Lee Anderson Dds Ms | |
|
2220 Olympic St Springfield OH 45503-2737 | |
| (937) 390-6616 | |
| (937) 390-9706 |
| Full Name | Ronnie Lee Anderson Dds Ms |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2220 Olympic St, Springfield, Ohio |
| Authorized Official Name and Position | Ronnie L Anderson (PRESIDENT) |
| Authorized Official Contact | 9373906616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronnie Lee Anderson Dds Ms 2220 Olympic St Springfield OH 45503-2737 Ph: (937) 390-6616 | Ronnie Lee Anderson Dds Ms 2220 Olympic St Springfield OH 45503-2737 Ph: (937) 390-6616 |
| NPI Number | 1417240847 |
|---|---|
| Provider Enumeration Date | 05/18/2011 |
| Last Update Date | 05/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417240847 | NPI | - | NPPES |
| 3056679 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15020 (Ohio) | Primary |
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