Individual
DR. RONALD HUGHES PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
947 FOURTH AVE, NEW KENSINGTON, PA 15068-5629
(724) 335-6166
(724) 335-6166
Mailing address
111 RAMPART BLVD, NEW KENSINGTON, PA 15068-5629
(724) 335-2862
(724) 335-2283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019493L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512714
—
PA
01
—
099350
UNITED CONCORDIA
PA
01
—
2223
DORAL
PA
01
—
239701
GATEWAY
PA
01
—
66721
UNISON
PA
Enumeration date
08/04/2006
Last updated
08/01/2011
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