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Individual

DR. RONALD KEITH DEDMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,P.A.

Contact information

Practice address
301 S ACADEMY ST, LINCOLNTON, NC 28092-2716
(704) 735-7001
(704) 735-7654
Mailing address
101 WOODVALE CIR, LINCOLNTON, NC 28092-7712
(704) 735-2963

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4049
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457375776
GROUP NPI NUMBER
NC
05
8992085
NC
Enumeration date
09/12/2006
Last updated
07/09/2007
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