Provider Demographics
NPI:1154476109
Name:SOLOMSON, RONALD DANA (DMD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:DANA
Last Name:SOLOMSON
Suffix:
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 1:10215 FERNWOOD ROAD
Mailing Address - Street 2:#601
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-493-6350
Mailing Address - Fax:301-897-5571
Practice Address - Street 1:10215 FERNWOOD ROAD
Practice Address - Street 2:#601
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-897-3350
Practice Address - Fax:301-897-5571
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD121151223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery