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NPI Code Detail

MEDICARE: RONALD JAMES SMALLS DDS

MEDICARE:   RONALD JAMES SMALLS  DDS
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
11223G0001XGeneral Practice Dentistry0401006121VA

General Provider Information

NPI Number : 1427236470
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD JAMES SMALLS DDS
Provider Business Mailing Address
First Line : 1309 JAMESTOWN ROAD
Second Line : SUITE 103
City : WILLIAMSBURG
State : VA
Zip : 23185-3380
Country : US
Telephone Number : 757-229-0620
Fax Number : 757-229-6557
Provider Business Practice Location Address
First Line : 1309 JAMESTOWN ROAD
Second Line : SUITE 103
City : WILLIAMSBURG
State : VA
Zip : 23185-3380
Country : US
Telephone Number : 757-229-0620
Fax Number : 757-229-6557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2008
Last Update Date : 02/01/2008

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Directions to “ RONALD JAMES SMALLS DDS” Practice Location

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