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NPI Code Detail

MEDICARE: RONALD ROUZER, DDS, PC

MEDICARE: RONALD ROUZER, DDS, PC
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 DentistryDS024944LPA

General Provider Information

NPI Number : 1669620753
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD ROUZER, DDS, PC
Provider Business Mailing Address
First Line : 1288 VALLEY FORGE RD
Second Line : SUITE 70
City : PHOENIXVILLE
State : PA
Zip : 19460-2687
Country : US
Telephone Number : 610-935-7509
Fax Number :
Provider Business Practice Location Address
First Line : 1288 VALLEY FORGE RD
Second Line : SUITE 70
City : PHOENIXVILLE
State : PA
Zip : 19460-2687
Country : US
Telephone Number : 610-935-7509
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RONALD ROUZER
Credential : DDS
Telephone Number : 610-935-7509
Provider Enumeration Date : 09/03/2008
Last Update Date : 09/03/2008

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