Provider Demographics
NPI:1396186649
Name:TRAPP, RONALD EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:EDWARD
Last Name:TRAPP
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:SUE ELLEN
Other - Middle Name:
Other - Last Name:TRAPP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4900 OAK ACRES LN
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-7320
Mailing Address - Country:US
Mailing Address - Phone:239-694-5918
Mailing Address - Fax:
Practice Address - Street 1:2470 EDISON AVE
Practice Address - Street 2:PROJECT DENTISTS CARE OF SW FLORIDA
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901
Practice Address - Country:US
Practice Address - Phone:239-470-1302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN200451223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health