Individual
RONALD J HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
LINCOLN STREET, FORT ASHBY, WV 26719
(304) 298-3501
(304) 298-3406
Mailing address
PO BOX 1060, FORT ASHBY, WV 26719-1060
(304) 298-3501
(304) 298-3406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2119
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135226000
—
WV
Enumeration date
09/05/2006
Last updated
07/08/2007
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