# RONALD E. TERRY, DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942384896
- **Authorized official:** MRS. CHARON LENISE JOHNSON (OFFICE MANAGER)
- **Authorized official phone:** (804) 526-2424

## Contact information

- **Practice address:** 21207 CHESTERFIELD AVE, ETTRICK, VA 23803-1919
- **Practice address phone:** (804) 526-2424
- **Practice address fax:** (804) 526-4660
- **Mailing address:** 21207 CHESTERFIELD AVE, ETTRICK, VA 23803-1919
- **Mailing address phone:** (804) 526-2424
- **Mailing address fax:** (804) 526-4660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401006268 | VA | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020
