Individual
DR. RONALD L. DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
612 S DETROIT ST, LAGRANGE, IN 46761-2314
(260) 463-2111
(260) 463-7496
Mailing address
612 S DETROIT ST, LAGRANGE, IN 46761-2314
(260) 463-2111
(260) 463-7496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007103A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159700
—
IN
Enumeration date
07/11/2006
Last updated
01/18/2017
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