Provider Demographics
NPI:1497963383
Name:TROWBRIDGE, RONALD C (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:C
Last Name:TROWBRIDGE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4362 THOUSAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-2153
Mailing Address - Country:US
Mailing Address - Phone:210-653-7174
Mailing Address - Fax:210-653-8204
Practice Address - Street 1:4362 THOUSAND OAKS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2153
Practice Address - Country:US
Practice Address - Phone:210-653-7174
Practice Address - Fax:210-653-8204
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice