Organization
RONNIE G. DAVIDSON II DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE G. DAVIDSON II II DMD (PRESIDENT)
(704) 663-1800
Entity
Organization
Contact information
Practice address
134 N. MAGNOLIA ST., MOORESVILLE, NC 28115
(704) 663-1800
(704) 662-9569
Mailing address
134 N. MAGNOLIA ST., MOORESVILLE, NC 28115
(704) 663-1800
(704) 662-9569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7363
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9024W
BCBS OF NC
NC
Enumeration date
10/29/2012
Last updated
10/29/2012
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