Provider Demographics
NPI:1497091722
Name:RONALD C FUHRMANN
Entity Type:Organization
Organization Name:RONALD C FUHRMANN
Other - Org Name:A DIVISON OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:FUHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-499-8465
Mailing Address - Street 1:216 BUSINESS PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6521
Mailing Address - Country:US
Mailing Address - Phone:757-499-8465
Mailing Address - Fax:
Practice Address - Street 1:216 BUSINESS PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6521
Practice Address - Country:US
Practice Address - Phone:757-499-8465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-13
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010061761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty