Individual
DR. RONALD KENT BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
101 E JACKSON ST, DILLON, SC 29536-2421
(843) 774-7662
(843) 774-7920
Mailing address
810 N 18TH AVE, DILLON, SC 29536-2754
(843) 841-9383
(843) 774-7920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3765
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899016X
—
NC
05
—
ZX3765
—
SC
Enumeration date
05/15/2007
Last updated
07/08/2007
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