Provider Demographics
NPI:1528232477
Name:ARRINGTON, RONNIE WILLIAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:WILLIAM
Last Name:ARRINGTON
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:PO BOX 3821
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31706-3821
Mailing Address - Country:US
Mailing Address - Phone:229-435-5176
Mailing Address - Fax:229-435-0417
Practice Address - Street 1:1714 E BROAD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705-2611
Practice Address - Country:US
Practice Address - Phone:229-435-5176
Practice Address - Fax:229-435-0417
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9325122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000255428AMedicaid
GA000255428BMedicaid