Individual
DR. RONALD PAUL MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 MAIN AVE, SUITE 705, FARGO, ND 58103-1971
(701) 237-4341
(701) 297-5938
Mailing address
520 MAIN AVE, SUITE 705, FARGO, ND 58103-1971
(701) 237-4341
(701) 297-5938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1487
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40485
—
ND
01
—
901487
BCBS/DSC
ND
Enumeration date
10/12/2005
Last updated
06/03/2014
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