Provider Demographics
NPI:1467532143
Name:JAMES, RONALD LANGFORD (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LANGFORD
Last Name:JAMES
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 1:2024 EDGEWOOD DR S
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-3637
Mailing Address - Country:US
Mailing Address - Phone:863-666-5449
Mailing Address - Fax:863-666-5536
Practice Address - Street 1:2024 EDGEWOOD DR S
Practice Address - Street 2:SUITE 2
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-3637
Practice Address - Country:US
Practice Address - Phone:863-666-5449
Practice Address - Fax:863-666-5536
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN84391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice