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NPI Code Detail

MEDICARE: DR. RONALD CLEVE HOUSE DDS, MS

MEDICARE: DR. RONALD CLEVE HOUSE DDS, MS
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 Dentistry3340WV

General Provider Information

NPI Number : 1851330377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD CLEVE HOUSE DDS, MS
Provider Business Mailing Address
First Line : 33 MAPLE AVE
Second Line :
City : MORGANTOWN
State : WV
Zip : 26501-6572
Country : US
Telephone Number : 304-296-4774
Fax Number :
Provider Business Practice Location Address
First Line : 1055 HEALTH SCIENCES NORTH
Second Line : ROOM 1056
City : MORGANTOWN
State : WV
Zip : 26506-9460
Country : US
Telephone Number : 304-293-1142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 07/08/2007

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