Provider Demographics
NPI:1124044466
Name:RAGNO, JAMES RICHARD JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICHARD
Last Name:RAGNO
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N LINDSAY ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3903
Mailing Address - Country:US
Mailing Address - Phone:336-884-8771
Mailing Address - Fax:336-884-8770
Practice Address - Street 1:901 N LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3903
Practice Address - Country:US
Practice Address - Phone:336-884-8771
Practice Address - Fax:336-884-8770
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC74771223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC899029CMedicaid
NC2428875Medicare ID - Type Unspecified
NCU92555Medicare UPIN