Provider Demographics
NPI:1790836377
Name:RINGGOLD, CHARLES L (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:L
Last Name:RINGGOLD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:HOSPITAL DENTISTRY INSTITUTE
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-3717
Mailing Address - Fax:319-353-6923
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:HOSPITAL DENTISTRY INSTITUTE
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-3717
Practice Address - Fax:319-353-6923
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA085871223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery