Provider Demographics
NPI:1225109549
Name:NORTHROP, RONALD JOSEPH (DDS MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOSEPH
Last Name:NORTHROP
Suffix:
Gender:M
Credentials:DDS MD
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Mailing Address - Street 1:7055 N FRESNO ST
Mailing Address - Street 2:202
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720
Mailing Address - Country:US
Mailing Address - Phone:559-432-4911
Mailing Address - Fax:559-432-3515
Practice Address - Street 1:7055 N FRESNO ST
Practice Address - Street 2:202
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720
Practice Address - Country:US
Practice Address - Phone:559-432-4911
Practice Address - Fax:559-432-3515
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA229081223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery