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NPI Code Detail

MEDICARE: DR. RONNIE D LLOYD D.D.S.

MEDICARE: DR. RONNIE D LLOYD 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
1122300000XDentist4370NC

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 : 1336153956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONNIE D LLOYD D.D.S.
Provider Business Mailing Address
First Line : PO BOX 128
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-0128
Country : US
Telephone Number : 252-459-2516
Fax Number : 252-459-8876
Provider Business Practice Location Address
First Line : 105 W CHURCH ST
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1327
Country : US
Telephone Number : 252-459-2561
Fax Number : 252-459-8876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/09/2007

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