Provider Demographics
NPI:1760538904
Name:RONALD S. ACQUARO, D.M.,D.,PA
Entity Type:Organization
Organization Name:RONALD S. ACQUARO, D.M.,D.,PA
Other - Org Name:CHILDREN'S DENTISTRY OF MANATEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:ACQUARO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:941-792-6272
Mailing Address - Street 1:5714 21ST AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5606
Mailing Address - Country:US
Mailing Address - Phone:941-792-6272
Mailing Address - Fax:
Practice Address - Street 1:5714 21ST AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-5606
Practice Address - Country:US
Practice Address - Phone:941-792-6272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty