Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 17335 | NC |
NPI | 1053389601 |
---|---|
Provider Name | Dr. Ronald G Dennis |
First Address | Charlotte, NC 28210-3256 |
Second Address | Charlotte, NC 28210-3256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 18/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017335 | (05) | SC |
1040932 | UNITED HEALTHCARE (01) | NC |
141029 | COVENTRY HEALTHCARE (01) | NC |
1552285001 | CIGNA (01) | NC |
19287 | PARTNERS (01) | NC |
20096145 | SELECT HEALTH OF SC (01) | SC |
22948 | MEDCOST (01) | NC |
276559 | MAMSI (01) | NC |
28329 | BCBS (01) | NC |
33491 | WELLPATH (01) | NC |
4255286 | AETNA (01) | NC |
770241 | WELLCARE (01) | SC |
8928329 | (05) | NC |
C83512 | (02) |