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NPI Code Detail

MEDICARE: DR. RONALD A GEORGE D.M.D., P.A.

MEDICARE:  DR. RONALD A GEORGE  D.M.D., P.A.
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
11223P0221XPediatric Dentistry0013993FL

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 : 1770690570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD A GEORGE D.M.D., P.A.
Provider Business Mailing Address
First Line : 4100 S HOSPITAL DR
Second Line : SUITE 107
City : PLANTATION
State : FL
Zip : 33317-2813
Country : US
Telephone Number : 954-792-6002
Fax Number : 954-792-6121
Provider Business Practice Location Address
First Line : 4100 S HOSPITAL DR
Second Line : SUITE 107
City : PLANTATION
State : FL
Zip : 33317-2813
Country : US
Telephone Number : 954-792-6002
Fax Number : 954-792-6121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 06/05/2023

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Directions to “ DR. RONALD A GEORGE D.M.D., P.A.” Practice Location

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