Individual
RONALD D GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 MAIN ST, NEWPORT, AR 72112-3232
(870) 523-3669
(870) 523-2757
Mailing address
122 MAIN ST, NEWPORT, AR 72112-3232
(870) 523-3669
(870) 523-2757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1954
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58217
BCBS OF AR
AR
Enumeration date
01/05/2007
Last updated
07/09/2007
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