Individual
DR. RONALD JUDSON PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4040 DIXIE HIGHWAY, SUITE 102, LOUISVILLE, KY 40216
(502) 447-2456
(502) 447-5453
Mailing address
4040 DIXIE HIGHWAY, SUITE 102, LOUISVILLE, KY 40216
(502) 447-2456
(502) 447-5453
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4067
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51024
—
IN
Enumeration date
11/29/2006
Last updated
07/08/2007
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