Individual
DR. RONALD DAVID SPAIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2206 PAGE RD, STE 103, DURHAM, NC 27703-7710
(919) 596-1219
Mailing address
2206 PAGE RD, STE 103, DURHAM, NC 27703-7710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4688
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998012
—
NC
Enumeration date
01/23/2006
Last updated
04/24/2012
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