Organization
RONNIE LEE ANDERSON DDS MS
Active
Organization
RONNIE LEE ANDERSON DDS MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE L ANDERSON (PRESIDENT)
(937) 390-6616
Entity
Organization
Contact information
Practice address
2220 OLYMPIC ST, SPRINGFIELD, OH 45503-2737
(937) 390-6616
(937) 390-9706
Mailing address
2220 OLYMPIC ST, SPRINGFIELD, OH 45503-2737
(937) 390-6616
(937) 390-9706
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15020
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3056679
—
OH
Enumeration date
05/18/2011
Last updated
05/18/2011
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