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NPI Code Detail

MEDICARE: DR. RONALD E. SPILLERS D.D.S.

MEDICARE:  DR. RONALD E. SPILLERS  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
11223G0001XGeneral Practice Dentistry0401410074VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10401410074OTHERVALICENSE NUMBER

General Provider Information

NPI Number : 1982656104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD E. SPILLERS D.D.S.
Provider Business Mailing Address
First Line : 11601 IRON BRIDGE RD
Second Line : SUITE 204
City : CHESTER
State : VA
Zip : 23831-1466
Country : US
Telephone Number : 804-717-7100
Fax Number : 804-717-5103
Provider Business Practice Location Address
First Line : 11601 IRON BRIDGE RD
Second Line : SUITE 204
City : CHESTER
State : VA
Zip : 23831-1466
Country : US
Telephone Number : 804-717-7100
Fax Number : 804-717-5103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/12/2007

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Directions to “ DR. RONALD E. SPILLERS D.D.S.” Practice Location

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