Provider Demographics
NPI:1821782830
Name:RONALD A. GEORGE D.M.D. ,P.A.
Entity Type:Organization
Organization Name:RONALD A. GEORGE D.M.D. ,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PURANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:954-792-6002
Mailing Address - Street 1:4100 S HOSPITAL DR STE 107
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2831
Mailing Address - Country:US
Mailing Address - Phone:954-792-6002
Mailing Address - Fax:954-792-6121
Practice Address - Street 1:4100 S HOSPITAL DR STE 107
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2831
Practice Address - Country:US
Practice Address - Phone:954-792-6002
Practice Address - Fax:954-792-6121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental