Organization
RONALD D GORE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD D GORE DDS (DENTIST)
(870) 523-3669
Entity
Organization
Contact information
Practice address
122 MAIN ST, NEWPORT, AR 72112-3232
(870) 523-3669
Mailing address
122 MAIN ST, NEWPORT, AR 72112-3232
(870) 523-3669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102812608
—
AR
Enumeration date
12/28/2020
Last updated
12/28/2020
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