Individual
DR. RONALD R. GIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
048159-1
NY
122300000X
Dentist
Primary
DS036539
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02490366
—
NY
05
—
1013500150001
—
PA
01
—
GU039851
MEDICARE GROUP
PA
Enumeration date
03/27/2006
Last updated
07/29/2011
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