Individual
RONALD STEPHEN BLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
30 OKI PLACE, KAUNAKAKAI, HI 96748-9674
(808) 553-5038
(808) 553-3780
Mailing address
632 N 8TH ST, ONEILL, NE 68763-1429
(402) 336-1702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5563
NE
1223G0001X
General Practice Dentistry
CSDT-32
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05239-NE
BC&BS OF NE PROVIDER ID #
NE
01
—
470730010
FEDERAL T.I.N.
NE
Enumeration date
09/02/2006
Last updated
04/30/2019
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