Organization
RONALD K. RISINGER, DDS, MS, PC
Active
Other names
Gulf Coast Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD KEITH RISINGER DDS, MS (ORTHODONTIST)
(409) 729-2371
Entity
Organization
Contact information
Practice address
7900 MEDICAL CENTER BLVD, PORT ARTHUR, TX 77640-2425
(409) 729-2371
(409) 729-2729
Mailing address
7900 MEDICAL CENTER BLVD, PORT ARTHUR, TX 77640-2425
(409) 729-2371
(409) 729-2729
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15661
DENTAL LICENSE
TX
Enumeration date
04/23/2007
Last updated
11/22/2024
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