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Individual

RONNIE GLYNN DAVIDSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
317 ALCOVE RD STE 101, MOORESVILLE, NC 28117-7632
(704) 663-1800
(704) 662-9569
Mailing address
317 ALCOVE RD STE 101, MOORESVILLE, NC 28117-7632
(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
12/13/2006
Last updated
01/09/2025
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