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Contact Information

RONALD D GORE, DDS
122 MAIN ST
NEWPORT, AR72112-3232
 Phone: 870-523-3669
 Fax: 870-523-2757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RONALD D GORE · (Male)

NPI # 1295883411
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/05/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 1954
  • AR Other 58217 BCBS OF AR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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