Provider Demographics
NPI:1497836365
Name:MORTON, RONALD J (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:J
Last Name:MORTON
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 1:1035 MAIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-737-3330
Mailing Address - Fax:401-739-3255
Practice Address - Street 1:1035 MAIN AVENUE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-737-3330
Practice Address - Fax:401-739-3255
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1921122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRM00845Medicaid
RI84877OtherBCBS RI
RI1921OtherRI DELTA
674558OtherUNITED CONCORDIA
RI84877OtherBCBS RI