Organization
DR. RONNIE HARRISON P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD RAY HARRISON DMD (DENTIST)
(601) 947-9530
Entity
Organization
Contact information
Practice address
13 PLAZA DRIVE, LUCEDALE, MS 39452
(601) 947-9530
(601) 947-9595
Mailing address
PO BOX 798, LUCEDALE, MS 39452-0798
(601) 947-9530
(601) 947-9595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2485
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660149
—
MS
05
—
05237756
—
MS
Enumeration date
01/05/2007
Last updated
08/22/2020
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