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NPI Code Detail

MEDICARE: DR. RONALD ANTHONY GASPARD III D.D.S.

MEDICARE:  DR. RONALD ANTHONY GASPARD III D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist6915NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245544378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD ANTHONY GASPARD III D.D.S.
Provider Business Mailing Address
First Line : 2211 S 64TH PLZ # 233
Second Line :
City : OMAHA
State : NE
Zip : 68106-2805
Country : US
Telephone Number : 402-212-6349
Fax Number :
Provider Business Practice Location Address
First Line : 5321 CENTER ST
Second Line :
City : OMAHA
State : NE
Zip : 68106-2338
Country : US
Telephone Number : 402-551-2238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2010
Last Update Date : 07/30/2010

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Directions to “ DR. RONALD ANTHONY GASPARD III D.D.S.” Practice Location

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