Provider Demographics
NPI:1821175795
Name:PARSONS, RONALD O'NEAL (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:O'NEAL
Last Name:PARSONS
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030A DULUTH HWY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-5215
Mailing Address - Country:US
Mailing Address - Phone:770-963-3963
Mailing Address - Fax:770-963-2383
Practice Address - Street 1:1030A DULUTH HWY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-5215
Practice Address - Country:US
Practice Address - Phone:770-963-3963
Practice Address - Fax:770-963-2383
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0085861223P0300X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223P0300XDental ProvidersDentistPeriodontics
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics